Individual
MR. JAMES FRED JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2301 25TH ST S, SUITE I, FARGO, ND 58103
(701) 241-9300
(701) 235-4525
Mailing address
2301 25TH ST S, SUITE I, FARGO, ND 58103
(701) 241-9300
(701) 235-4525
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
31925
MN
207X00000X
Orthopaedic Surgery Physician
Primary
3782
ND
207X00000X
Orthopaedic Surgery Physician
5131
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0023210
WELLMARK BCBS
SD
01
—
0900489
MEDICA
—
05
—
14183
—
ND
01
—
200026912
RR MEDICARE
—
01
—
58A11JO
MN BCBS
MN
01
—
594741014527
PREFERRED ONE COMMUNITY HEALTH
—
05
—
6402130
—
SD
05
—
840563800
—
MN
01
—
HP19542
HEALTH PARTNERS
—
01
—
JOH23210
BCBS ND
ND
Enumeration date
02/01/2006
Last updated
04/28/2010
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