Individual
DR. JOEL J JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
115 VIVIAN ST., PARK RIVER, ND 58270-4540
(701) 284-7555
(701) 284-4605
Mailing address
P O BOX I, PARK RIVER, ND 58270-0708
(701) 284-7555
(701) 284-4605
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6967
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18084
—
ND
Enumeration date
11/08/2006
Last updated
03/08/2021
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