Individual
DANA E JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
516 DELAWARE ST SE, UNIVERSITY OF MINNESOTA PHY PWB FOURTH FLOOR ROOM 4-100, MINNEAPOLIS, MN 55455
(612) 672-7211
Mailing address
420 DELAWARE ST SE, UNIVERSITY OF MINNESOTA PHYSICIANS MMC 39, MINNEAPOLIS, MN 55455
(612) 672-7211
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
23986
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0052117
—
MT
01
—
022574
FAIRIVEW
MN
05
—
0972521
—
IA
01
—
1009158
PREFERRED ONE
MN
01
—
101184
U CARE
MN
05
—
228293300
—
MN
01
—
2T286JO
BLUE CROSS BLUE SHIELD
MN
01
—
4724899
MEDICA-CHOICE
MN
01
—
4774518
MEDICA-PRIMARY
MN
01
—
604716
ARAZ
—
01
—
HP13613
HEALTH PARTNERS
MN
Enumeration date
10/02/2006
Last updated
10/26/2012
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