Individual
DR. DAVID LEE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8400 NORMANDALE LAKE BLVD STE 920, BLOOMINGTON, MN 55437-3843
(952) 395-7212
(952) 831-0530
Mailing address
8400 NORMANDALE LAKE BLVD STE 920, BLOOMINGTON, MN 55437-3843
(952) 395-7212
(952) 831-0530
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
27456
MN
2084P0800X
Psychiatry Physician
G54829
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112228
UCARE
MN
01
—
15-20048
MEDICA/UBH
MN
01
—
29101JO
BC/BS
MN
05
—
315767900
—
MN
01
—
882001
PREFERRED ONE
MN
01
—
PSY0215
ARAZ/AMERICA'S PPO
MN
Enumeration date
08/24/2006
Last updated
06/27/2025
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