Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEITH JOHNSON, MD
ActiveKEITH JOHNSON, MD is a Family Medicine healthcare provider located in MAPLE GROVE, Minnesota. NPI 1013412956 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · MAPLE GROVE, MN
Registration Details
- NPI Number
- 1013412956
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 23, 2018 (8.3976841428764 yrs)
- Last Updated
- Jul 29, 2021
- Licenses
-
238295 (NC)69882 (MN)
Practice Information
- Address
-
9855 HOSPITAL DR STE 102MAPLE GROVE, MN, 553694648Browse MN providers · Browse ZIP 55369
- Phone
- 7635815900
- Fax
- 7635815901
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in MAPLE GROVE, MN
| Name | Credential | NPI |
|---|---|---|
| NICOLE T LOWE | M.D. | 1023014438 |
| DR. CHRISTOPHER A. CARLSON | M.D. | 1710979489 |
| DAVID C SANDELL | M.D. | 1568453926 |
| DR. MARK S HENCH | M.D. | 1073597381 |
| DR. JAMES R BERGAN | MD | 1669459020 |
| SETH TAYLOR | — | 1386621373 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.