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NPI Code Detail

MEDICARE: DR. ESTHER MIRIAM JOHNSTON M.D., M.P.H.

MEDICARE: DR. ESTHER MIRIAM JOHNSTON M.D., M.P.H.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician76764MN

General Provider Information

NPI Number : 1023305380
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ESTHER MIRIAM JOHNSTON M.D., M.P.H.
Provider Business Mailing Address
First Line : 955 POWELL AVE SW
Second Line :
City : RENTON
State : WA
Zip : 98057-2908
Country : US
Telephone Number : 425-277-1311
Fax Number :
Provider Business Practice Location Address
First Line : 2426 W BROADWAY AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55411-1735
Country : US
Telephone Number : 612-302-8200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2011
Last Update Date : 07/01/2024

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