Individual
STEVEN D JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
927 CHURCHILL ST W, STILLWATER, MN 55082-6605
(651) 430-4617
(651) 292-2178
Mailing address
9975 DELLWOOD RD N, STILLWATER, MN 55082-9425
(651) 429-7026
(651) 292-2178
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
28524
MN
2085R0202X
Diagnostic Radiology Physician
Primary
47413
WI
2085R0202X
Diagnostic Radiology Physician
8428
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
726873400
—
MN
Enumeration date
01/11/2006
Last updated
04/28/2025
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