Johnson, Wade

Johnson, Wade is an individual health care provider with primary practice located at 1025 Marsh St , Mankato MN 56001-4752. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Johnson, Wade can be contacted via phone (507) 625-4031.

Contact Information

Primary practice address
1025 Marsh St Mankato MN 56001-4752
Phone: (507) 625-4031
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 63980 Minnesota

Profile Details

NPI number 1235530890
LBN Legal business name Johnson, Wade
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2014
Last updated Oct 27th, 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.

Request for update

Popular Providers