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Organization

DAVID L. JOHNSON, MD, LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID L JOHNSON MD (EMPLOYEE/EMPLOYER S CORP)
(952) 395-7212
Entity
Organization

Contact information

Practice address
8400 NORMANDALE LAKE BLVD STE 920, BLOOMINGTON, MN 55437-3843
(952) 395-7212
(952) 831-0530
Mailing address
9833 CHOWEN AVE S, BLOOMINGTON, MN 55431-2748
(952) 999-0861
(952) 831-0530

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15-20048
MEDICA/UBH
05
315767900
MN
01
D73252
MEDICARE UPIN
Enumeration date
12/21/2020
Last updated
05/28/2025
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