Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDREW J JOHNSON, DPM
ActiveANDREW J JOHNSON, DPM is a Foot & Ankle Surgery Podiatrist healthcare provider located in DETROIT LAKES, Minnesota. NPI 1649281361 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery Podiatrist · DETROIT LAKES, MN
Registration Details
- NPI Number
- 1649281361
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 10, 2006 (19.982183637789 yrs)
- Last Updated
- Mar 29, 2022
- Licenses
-
801 (MN)PO00000770 (WA)801 (MN)
Practice Information
- Address
-
1245 S WASHINGTON AVEDETROIT LAKES, MN, 565013905Browse MN providers · Browse ZIP 56501
- Phone
- 2188462000
- Fax
- 2188462114
- Primary Specialty
-
Foot & Ankle Surgery Podiatrist
213ES0103X
- Additional Specialty
- Podiatrist
- Additional Specialty
- Foot & Ankle Surgery Podiatrist
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.