Individual
WENDI A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
42414
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023002
PREFERRED ONE
—
01
—
1200672
MEDICA HEALTH PLANS
—
01
—
127726
U CARE
—
01
—
2115882
FIRST HEALTH PLAN
—
01
—
370015800
RR MEDICARE
—
05
—
519112200
—
MN
01
—
86D69HO
BLUE CROSS BLUE SHIELD
—
01
—
940644
ARAZ GROUP AMERICAS PPO
—
01
—
COMP
CHAMPUS
—
01
—
HP30134
HEALTH PARTNERS
—
Enumeration date
10/31/2005
Last updated
11/19/2020
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