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Contact Information

FREDERICK W JOHNSON, MD
500 OSBORNE RD NE
SUITE 200
FRIDLEY, MN55432-2765
 Phone: 763-236-2045
 Fax: 763-236-2044
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for FREDERICK W JOHNSON · (Male)

NPI Number 1740375971
Status Active
Credentials MD
Entity Individual
Enumeration date 10/04/2006
Last updated 11/29/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 19185
  • MN Medicaid 670892700
Hospital affiliation(s) Not Available
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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