Individual
DR. STEVEN R JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 N 9TH ST, BISMARCK, ND 58501-4507
(701) 530-6000
(701) 530-6000
Mailing address
401 N 9TH ST, BISMARCK, ND 58501-4507
(701) 530-6000
(701) 530-6000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
7979
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020038507
MEDICARE RAILROAD
ND
05
—
10567
—
ND
Enumeration date
06/16/2006
Last updated
06/24/2010
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