Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CAROL J. JOHNSON, M.D.
ActiveDR. CAROL J. JOHNSON, M.D. is a Geriatric Medicine healthcare provider located in FARGO, North Dakota. NPI 1679535991 is currently active in the NPPES registry. Verify at CMS.
Geriatric Medicine · FARGO, ND
Registration Details
- NPI Number
- 1679535991
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 3, 2006 (20.175663088247 yrs)
- Last Updated
- Oct 20, 2021
- Licenses
-
45735 (MN)45749 (MN)15917 (ND)
Practice Information
- Address
-
1702 UNIVERSITY DR SFARGO, ND, 581034940Browse ND providers · Browse ZIP 58103
- Phone
- 7013643300
- Primary Specialty
-
Geriatric Medicine
207QG0300X
- Additional Specialty
- Geriatric Medicine
- Additional Specialty
- Geriatric Medicine
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.