Individual
DR. ROBERT GEORGE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1801 19TH AVE SW, WILLMAR, MN 56201-4946
(320) 263-4321
Mailing address
1801 19TH AVE SW, WILLMAR, MN 56201-4946
(320) 263-4321
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
67607
MN
208600000X
Surgery Physician
M-16101
ID
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891182341
—
ID
Enumeration date
04/22/2015
Last updated
07/31/2026
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