Individual
DR. MICHAEL JOSEPH JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1650 4TH ST SE, ROCHESTER, MN 55904-4717
(507) 529-6600
Mailing address
1650 4TH ST SE, ROCHESTER, MN 55904-4717
(507) 529-6600
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01063646A
IN
2085R0202X
Diagnostic Radiology Physician
Primary
56073
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146470E2
MEDICARE ID
IN
05
—
200882000
—
IN
Enumeration date
06/23/2006
Last updated
08/09/2024
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