Organization
JAMES F JOHNSON, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES FRED JOHNSON M.D. (PRESIDENT)
(701) 241-9300
Entity
Organization
Contact information
Practice address
2301 25TH ST S, SUITE I, FARGO, ND 58103-6104
(701) 241-9300
(701) 235-4525
Mailing address
2301 25TH ST S, SUITE I, FARGO, ND 58103-6104
(701) 241-9300
(701) 235-4525
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3782
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0023210
WELLMARK BCBS
SD
01
—
01076001
ND BC BS
ND
05
—
14556
—
ND
05
—
414453000
—
MN
01
—
52234
HEALTH PARTNERS
—
01
—
58A10J0
MN BC BS
MN
05
—
6402130
—
SD
01
—
9809329
MEDICA
—
01
—
DG2494
RR MEDICARE
—
Enumeration date
11/01/2006
Last updated
06/13/2008
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