MEDICARE: JAN DIANE JOHNSON MD

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
1	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	25663	MN

General Provider Information

NPI Number	:	1407856859
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAN DIANE JOHNSON MD

Provider Business Mailing Address
First Line	:	900 LONG LAKE RD
Second Line	:	STE 160
City	:	NEW BRIGHTON
State	:	MN
Zip	:	55112-6414
Country	:	US
Telephone Number	:	651-631-3759
Fax Number	:	612-706-9617

Provider Business Practice Location Address
First Line	:	4001 STINSON BLVD
Second Line	:	STE 404
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55421-3488
Country	:	US
Telephone Number	:	612-706-9630
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	03/24/2017

Similar Medicare Providers

1447254123 — DR. SHOBANA MURALI M.D.
Practice Location Address:

4001 STINSON BLVD , SUITE 100
MINNEAPOLIS, MN
55421-3488

Practice Phone: 612-788-1621
Practice Fax: 612-788-8079

1881692549 — DR. SPENCER ALLAN JOHNSON MD
Practice Location Address:

4001 STINSON BLVD , STE 404
MINNEAPOLIS, MN
55421-3488

Practice Phone: 612-706-9630
Practice Fax:

1013908581 — DR. MICHAEL EDWARD FORBES DDS
Practice Location Address:

4001 STINSON BLVD , SUITE 426
MINNEAPOLIS, MN
55421-3488

Practice Phone: 612-788-0751
Practice Fax: 612-788-1014

1598787707 — DR. SCOTT A. ARMSTRONG D.D.S.
Practice Location Address:

4001 STINSON BLVD , SUITE 420
MINNEAPOLIS, MN
55421-3488

Practice Phone: 612-788-5151
Practice Fax: 612-788-9698

1205943214 — EYE CARE ASSOCIATES PA
Practice Location Address:

4001 STINSON BLVD , SUITE 100
MINNEAPOLIS, MN
55421-3488

Practice Phone: 612-788-1621
Practice Fax: 612-788-8079

1538229620 — DR. WENDY L ENGSTROM D.D.S.
Practice Location Address:

4001 STINSON BLVD , SUITE 310
MINNEAPOLIS, MN
55421-3488

Practice Phone: 612-781-1175
Practice Fax:

Directions to “ JAN DIANE JOHNSON MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.