Individual
DR. TERRANCE L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3807 GREENLEAF AVE NW, BEMIDJI, MN 56601-5817
(218) 751-9746
(218) 333-4776
Mailing address
3807 GREENLEAF AVE NW, BEMIDJI, MN 56601-5817
(218) 751-9746
(218) 333-4776
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
22385
MN
207X00000X
Orthopaedic Surgery Physician
Primary
22385
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
437562900
—
MN
Enumeration date
06/23/2005
Last updated
04/06/2022
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