Individual
BLAKE A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5775 WAYZATA BLVD, STE 190, ST LOUIS PARK, MN 55416
(952) 541-1840
(952) 513-6880
Mailing address
PO BOX 1450, NW6035, MINNEAPOLIS, MN 55485-6035
(952) 542-8553
(952) 513-6880
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
39490
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205022600
—
MN
Enumeration date
03/07/2006
Last updated
02/17/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us