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Contact Information

ROBERT G JOHNSON, MD
101 WILLMAR AVE SW
WILLMAR, MN56201-3556
 Phone: 320-231-5000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for ROBERT G JOHNSON · (Male)

NPI Number 1891182341
Status Active
Credentials MD
Entity Individual
Enumeration date 04/22/2015
Last updated 07/01/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • ID License # M-16101
  • MN License # 67607
  • ID Medicaid 1891182341
Hospital affiliation(s)
  • KOOTENAI MEDICAL CENTER - (Acute Care)
    2003 KOOTENAI HEALTH WAY
    COEUR D'ALENE, ID 83814
  • NORTHWEST SPECIALTY HOSPITAL - (Acute Care)
    1593 EAST POLSTON AVENUE
    POST FALLS, ID 83854
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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