Individual
DR. STEPHANIE JO JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1301 S CLIFF AVE STE 700, SIOUX FALLS, SD 57105-1019
(605) 322-7200
(605) 322-7222
Mailing address
PO BOX 5050, SIOUX FALLS, SD 57117-5050
(605) 322-7200
(605) 322-7222
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
21154
NE
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
36940
IA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
5966
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114658100
—
WY
01
—
220026517
RAILROAD MEDICARE
—
01
—
30180
BCBS
—
05
—
642398100
—
MN
05
—
7706280
—
SD
05
—
807247600
—
ID
01
—
896110
ARIZONA HEALTH CARE COST
AZ
01
—
9173120
DAKOTACARE
—
Enumeration date
08/11/2006
Last updated
10/16/2023
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