Individual
PAUL ERIC JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
705 SIOUX POINT RD, SUITE 100, DAKOTA DUNES, SD 57049-5091
(605) 217-5500
(605) 217-5515
Mailing address
575 N SIOUX POINT RD, DAKOTA DUNES, SD 57049-5312
(605) 217-2667
(605) 217-2900
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
14705
NE
208600000X
Surgery Physician
Primary
3901
SD
208600000X
Surgery Physician
3907
SD
208600000X
Surgery Physician
MD-22887
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020043596
RR MEDICARE
SD
05
—
1035535
—
IA
05
—
7301950
—
SD
Enumeration date
02/28/2006
Last updated
01/20/2026
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