Individual
DANA E JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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