Wade Johnson
Sports Medicine
1025 Marsh St
Mankato
, Minnesota 56001-4752
Wade Johnson
Sports Medicine
1025 Marsh St
Mankato
, Minnesota 56001-4752
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About
Features
Specialties
- Sports Medicine
Languages spoken
- English
Location
First Address
- Wade Johnson
- 200 1st St Sw
- Rochester, MN
- Zip : 55905-0001
- Phone :
Second Address
- Wade Johnson
- 1025 Marsh St
- Mankato, MN
- Zip : 56001-4752
- Phone : (507) 625-4031
Reviews
FAQs
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What type of doctor is Wade Johnson
In what state does Wade Johnson practice in?
Where is Wade Johnson ’s practice located?
What is Wade Johnson ’s gender?
Is Wade Johnson a sole practitioner?
Is Wade Johnson accepting new patients?
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Does Wade Johnson offers telemedicine?
What is Wade Johnson ’s professional license number?
What is Wade Johnson ’s NPI number?
Does Wade Johnson have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081S0010X | Sports Medicine | 63980 | MN |
| Y | 213ES0000X | Sports Medicine | 63980 | MN |
National Provider Identifier
| NPI | 1235530890 |
|---|---|
| Provider Name | Wade Johnson |
| First Address | Rochester, MN 55905-0001 |
| Second Address | Mankato, MN 56001-4752 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/09/2014 |
| Last Update Date | 27/10/2020 |
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.