Individual
JOHN C JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 252-5131
(320) 240-2118
Mailing address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 252-5131
(320) 240-2118
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
32880
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0426968
MEDICA HEALTH PLANS
—
01
—
108498
UCARE
—
01
—
110104495
RR MEDICARE
—
01
—
2114099
FIRST HEALTH PLAN
—
01
—
600904
ARAZ GROUP AMERICAS PPO
—
01
—
6D070JO
BLUE CROSS BLUE SHIELD
—
01
—
899297500
MEDICAL ASSISTANCE
—
01
—
986013
PREFERRED ONE
—
01
—
HP22733
HEALTH PARTNERS
—
Enumeration date
10/25/2005
Last updated
03/07/2023
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