Individual
DANIEL VERDON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2024 S 6TH ST, BRAINERD, MN 56401-4529
(218) 828-2892
Mailing address
2024 S 6TH ST, BRAINERD, MN 56401-4529
(218) 828-2892
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
58070
MN
Other
Enumeration date
06/21/2013
Last updated
03/30/2017
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