Individual
COLIN JAMES JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
3000 32ND AVE S, FARGO, ND 58103-6132
(701) 364-8000
(701) 364-8078
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
16436
ND
207P00000X
Emergency Medicine Physician
67084
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/27/2017
Last updated
06/17/2020
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