Individual
STEFAN WALTER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1300 S COLUMBIA RD, GRAND FORKS, ND 58201
(701) 780-2300
(701) 777-2609
Mailing address
2401 DEMERS AVE, GRAND FORKS, ND 58201
(701) 780-1891
(701) 777-2609
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
13356
ND
208600000X
Surgery Physician
64958
MN
Other
Enumeration date
07/02/2009
Last updated
06/08/2020
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