Individual
WALTER S JOHNSON
Active
Individual
WALTER S JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4262
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0402561
MEDICA #
ND
01
—
0404050
MEDICA #
ND
05
—
15078
—
ND
01
—
152020
UCARE #
ND
01
—
15638
SIOUX VALLEY #
ND
01
—
2120
NDBS #
ND
01
—
30224JO
MNBS #
ND
05
—
625005000
—
ND
01
—
79896JO
MNBS #
ND
01
—
79897JO
MNBS #
MN
01
—
80950JO
MNBS #
ND
01
—
910828
AMERICA'S PPO/ARAZ #
ND
01
—
DA9011015546
PREFERRED ONE #
ND
01
—
HP19546
HEALTHPARTNERS #
ND
01
—
ND100004
LHS #
ND
Enumeration date
07/13/2006
Last updated
03/07/2023
Update your record
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