Harold D Johnston, MD | |
20 5th St Se, Medical, Cook, MN 55723-9702 | |
(218) 666-5941 | |
(218) 666-5099 |
Full Name | Harold D Johnston |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 20 5th St Se, Cook, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255305942 | NPI | - | NPPES |
69391 | Other | MN | MPIN |
D75759 | Other | MN | UPIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 21520 (Minnesota) | Primary |
Entity Name | Cook Area Health Services, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174596027 PECOS PAC ID: 4880681303 Enrollment ID: O20040427001470 |
Mailing Address | Practice Location Address |
---|---|
Harold D Johnston, MD 20 5th St Se, Medical, Cook, MN 55723-9702 Ph: (218) 666-5941 | Harold D Johnston, MD 20 5th St Se, Medical, Cook, MN 55723-9702 Ph: (218) 666-5941 |
Nicholas Brian Vidor, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 20 5th St Se, Cook, MN 55723 Phone: 218-666-5102 | |
Dr. Bruce David Garbisch, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 20 5th St Se, Cook, MN 55723 Phone: 218-666-5941 Fax: 218-666-5099 | |
Dr. Fred Lawrence Webber, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 20 5th St Se, Cook, MN 55723 Phone: 218-666-5941 | |
Lynne M Didrikson I, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 20 5th St Se, Cook, MN 55723 Phone: 218-666-5941 |