Individual
MARK E JOHNSON
Active
Individual
MARK E JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
33783
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110104487
RR MEDICARE
—
01
—
110904
U CARE
—
01
—
2114001
FIRST HEALTH PLAN
—
01
—
2529937
MEDICA HEALTH PLANS
—
01
—
600885
ARAZ GROUP AMERICAS PPO
—
01
—
686002800
MEDICAL ASSISTANCE
—
05
—
686002800
—
MN
01
—
6D71JO
BLUE CROSS BLUE SHIELD
—
01
—
986014
PREFERRED ONE
—
01
—
HP25456
HEALTH PARTNERS
—
Enumeration date
08/16/2005
Last updated
08/26/2024
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