Individual
STEVEN L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
403 STAGELINE RD, HUDSON, WI 54016-7848
(715) 531-6700
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35706
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405017700
—
MN
Enumeration date
08/15/2005
Last updated
03/08/2024
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