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Individual

DR. DEAN EVERETT JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4508 38TH ST, SUITE 128, COLUMBUS, NE 68601-1668
(402) 563-3616
(402) 563-0466
Mailing address
4508 38TH ST, SUITE 128, COLUMBUS, NE 68601-1668
(402) 563-3616
(402) 563-0466

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
15947
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3030
BCBS NE
NE
01
3886
MIDLANDS CHOICE
NE
05
47064690800
NE
Enumeration date
09/20/2006
Last updated
07/09/2007
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