Johnson, Stefan Walter

Johnson, Stefan Walter is an individual health care provider with primary practice located at 1300 S Columbia Rd , Grand Forks ND 58201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Johnson, Stefan Walter can be contacted via phone (701) 780-2300.

Contact Information

Primary practice address
1300 S Columbia Rd Grand Forks ND 58201
Phone: (701) 780-2300
Fax: (701) 777-2609
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 64958 Minnesota
Allopathic & Osteopathic Physicians / Surgery 208600000X 13356 North Dakota

Profile Details

NPI number 1932338613
LBN Legal business name Johnson, Stefan Walter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2009
Last updated Jun 8th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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