Individual
MAX RAY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4450 31ST AVE S STE 200, FARGO, ND 58104-4556
(701) 293-9829
(701) 293-0111
Mailing address
4450 31ST AVE S STE 200, FARGO, ND 58104-4556
(701) 293-9829
(701) 293-0111
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
5573
ND
Other
Enumeration date
12/19/2005
Last updated
01/04/2022
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