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NPI Code Detail

MEDICARE: DAVID L. JOHNSON, MD, LTD

MEDICARE: DAVID L. JOHNSON, MD, LTD
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
12084P0800XPsychiatry Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3D73252OTHERMEDICARE UPIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
115-20048OTHERMEDICA/UBH
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346836673
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAVID L. JOHNSON, MD, LTD
Provider Business Mailing Address
First Line : 9833 CHOWEN AVE S
Second Line :
City : BLOOMINGTON
State : MN
Zip : 55431-2748
Country : US
Telephone Number : 952-999-0861
Fax Number : 952-831-0530
Provider Business Practice Location Address
First Line : 8400 NORMANDALE LAKE BLVD STE 920
Second Line :
City : BLOOMINGTON
State : MN
Zip : 55437-3843
Country : US
Telephone Number : 952-395-7212
Fax Number : 952-831-0530
Authorized Official
Title or Position : EMPLOYEE/EMPLOYER S CORP
Name : DAVID L JOHNSON
Credential : MD
Telephone Number : 952-395-7212
Provider Enumeration Date : 12/21/2020
Last Update Date : 05/28/2025

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Directions to “DAVID L. JOHNSON, MD, LTD ” Practice Location

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