Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223S0112X | Oral and Maxillofacial Surgeon | 5001983 | WI |
Y | 1223S0112X | Oral and Maxillofacial Surgeon | DO8300 | MN |
NPI | 1023088622 |
---|---|
Provider Name | Steven D Johnson |
First Address | Stillwater, MN 55082-6044 |
Second Address | Stillwater, MN 55082-6044 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
33364500 | (05) | WI |
T78285 | (02) |