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Individual

MITCHELL C JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
810 E 23RD ST, SIOUX FALLS, SD 57105-2135
(605) 331-5890
(605) 336-3974
Mailing address
PO BOX 5116, SIOUX FALLS, SD 57117-5116
(605) 331-5890
(605) 336-3974

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5151
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6402150
SD
01
P00028184
RAILROAD MEDICARE
SD
Enumeration date
07/12/2006
Last updated
01/21/2008
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