Individual
DR. BRIAN WAYNE JOHNSON
Active
Individual
DR. BRIAN WAYNE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
16571
ND
2085R0202X
Diagnostic Radiology Physician
297697
NY
363A00000X
Physician Assistant
10562
MN
363A00000X
Physician Assistant
2210
WI
Other
Enumeration date
10/19/2007
Last updated
09/23/2025
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