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Individual

DONALD L JOHNSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
34217
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
060010443
RAILROAD MEDICARE
MN
05
133215500
MN
05
35222600
WI
05
ENROLLED
IA
05
ENROLLED
SD
Enumeration date
02/21/2006
Last updated
03/14/2013
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