Doctor Name: | STEVEN D JOHNSON |
NPI Number: | 1053390849 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 28524 |
Business Practice Address: | 927 Churchill St W Stillwater, MN - 550826605 |
Business Phone Number: | 6514304617 |
Business Fax Number: | 6512922178 |
Mailing Address: | 9975 Dellwood Rd N, STILLWATER |
State: | MN |
Postal Code: | 550829425 |
Phone Number: | 6514297026 |
Fax Number: | 6512922178 |
NPI Enumeration Date: | 01/11/2006 |
NPI Last Update Date: | 07/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 28524 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |