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Contact Information

WADE JOHNSON, DO
1025 MARSH ST
MANKATO, MN56001-4752
 Phone: 507-625-4031
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for WADE JOHNSON · (Male)

NPI # 1235530890
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 09/14/2014
Last updated 10/27/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 63980
Hospital affiliation(s)
  • MAYO CLINIC HEALTH SYSTEM - MANKATO - (Acute Care)
    1025 MARSH STREET
    MANKATO, MN 56001
  • MAYO CLINIC HEALTH SYSTEM - NEW PRAGUE - (Critical Access)
    301 2ND STREET NORTHEAST
    NEW PRAGUE, MN 56071
  • MAYO CLINIC HEALTH SYSTEM - ST JAMES - (Critical Access)
    1101 MOULTON AND PARSONS DRIVE
    ST JAMES, MN 56081
  • RIVER'S EDGE HOSPITAL & CLINIC - (Critical Access)
    1900 NORTH SUNRISE DRIVE
    ST PETER, MN 56082
  • ST MARYS HOSPITAL - (Acute Care)
    1216 SECOND STREET SOUTHWEST
    ROCHESTER, MN 55902
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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