Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WADE JOHNSON, DO
ActiveWADE JOHNSON, DO is a Sports Medicine (PM&R) healthcare provider located in MANKATO, Minnesota. NPI 1235530890 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · MANKATO, MN
Registration Details
- NPI Number
- 1235530890
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 14, 2014 (11.955499754724 yrs)
- Last Updated
- Oct 27, 2020
- License
-
63980 (MN)
Practice Information
- Address
-
1025 MARSH STMANKATO, MN, 560014752Browse MN providers · Browse ZIP 56001
- Phone
- 5076254031
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
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.