Individual
HAROLD D JOHNSTON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20 5TH ST SE, MEDICAL, COOK, MN 55723-9702
(218) 666-5941
(218) 666-5099
Mailing address
20 5TH ST SE, MEDICAL, COOK, MN 55723-9702
(218) 666-5941
(218) 666-5099
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21520
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
69391
MPIN
MN
01
—
D75759
UPIN
MN
Enumeration date
02/17/2006
Last updated
07/08/2007
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