| David L. Johnson, Md, Ltd | |
|
431 S 7th St Ste 2402 Minneapolis MN 55415-1801 | |
| (612) 332-4864 | |
| (952) 831-0530 |
| Full Name | David L. Johnson, Md, Ltd |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 431 S 7th St Ste 2402, Minneapolis, Minnesota |
| Authorized Official Name and Position | David L Johnson (EMPLOYEE/EMPLOYER S CORP) |
| Authorized Official Contact | 6123324864 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David L. Johnson, Md, Ltd 9833 Chowen Ave S Bloomington MN 55431-2748 Ph: (952) 835-6391 | David L. Johnson, Md, Ltd 431 S 7th St Ste 2402 Minneapolis MN 55415-1801 Ph: (612) 332-4864 |
| NPI Number | 1346836673 |
|---|---|
| Provider Enumeration Date | 12/21/2020 |
| Last Update Date | 12/11/2023 |
| Certification Date | 12/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346836673 | NPI | - | NPPES |
| D73252 | Other | MEDICARE UPIN | |
| 315767900 | Medicaid | MN | |
| 15-20048 | Other | MEDICA/UBH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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