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Contact Information

EDWARD R JOHNSON, MD
3000 32ND AVE S
FARGO, ND58103-6132
 Phone: 701-364-8000
 Fax: 701-364-8078
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for EDWARD R JOHNSON · (Male)

NPI # 1497715064
Status Active
Credentials MD
Entity Individual
Enumeration date 03/27/2006
Last updated 11/04/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 42197
  • ND License # 10858
  • MN Medicaid 968613400
  • ND Medicaid 14696
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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