Individual
DR. DONALD EDWARD JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6341 UNIVERSITY AVE NE, FRIDLEY, MN 55432-4946
(763) 572-5710
(763) 586-5888
Mailing address
6401 UNIVERSITY AVE NE, FRIDLEY, MN 55432-4341
(763) 572-5710
(763) 571-3008
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20360
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0113604
MEDICA
MN
01
—
08046JO
BCBS OF MN
MN
01
—
1000886
PREFERRED ONE
MN
01
—
103271
UCARE MN
MN
01
—
23227
AMERICA'S PPO
MN
01
—
4044543
AETNA
MN
01
—
6603885
MEDICA UC
MN
05
—
933080100
—
MN
01
—
HP19910
HEALTHPARTNERS
MN
Enumeration date
04/10/2006
Last updated
06/20/2012
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