Individual
TODD CHRISTOPHER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 TOWER RD STE 103, DAKOTA DUNES, SD 57049-5007
(605) 217-7246
(605) 217-4878
Mailing address
573 MONTEREY TRL, DAKOTA DUNES, SD 57049-5284
(605) 422-1130
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
4163
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1141994
—
IA
05
—
5701170
—
SD
Enumeration date
07/21/2006
Last updated
12/06/2017
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