Keith L Johansen
Obstetrician & Gynecologist Obstetrician
200 1st St Sw
Rochester
, Minnesota 55905-0001
Keith L Johansen
Obstetrician & Gynecologist Obstetrician
200 1st St Sw
Rochester
, Minnesota 55905-0001
(507) 284-2511
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About
Features
Specialties
- Obstetrician & Gynecologist
- Obstetrician
Languages spoken
- English
Location
First Address
- Keith L Johansen
- 200 1st St Sw
- Rochester, MN
- Zip : 55905-0001
- Phone : (507) 284-2511
Second Address
- Keith L Johansen
- 200 1st St Sw
- Rochester, MN
- Zip : 55905-0001
- Phone : (507) 284-2511
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207V00000X | Obstetrician & Gynecologist | 25442 | MN |
| N | 207VX0000X | Obstetrician | 25442 | MN |
National Provider Identifier
| NPI | 1457339368 |
|---|---|
| Provider Name | Keith L Johansen |
| First Address | Rochester, MN 55905-0001 |
| Second Address | Rochester, MN 55905-0001 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/01/2006 |
| Last Update Date | 25/04/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| D80171 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.