person
Merrick Johnson, MD
Student in an Organized Health Care Education/Training Program in Fargo, North Dakota
NPI 1023792413

Merrick Johnson is a Student in an Organized Health Care Education/Training Program based in Fargo, ND. Merrick Johnson practices in Fargo, ND and has the professional credentials of MD. The NPI Number for Merrick Johnson is 1023792413 and holds a License No. 19972 (North Dakota).

The current practice location address for Merrick Johnson is 5225 23Rd Ave S, Fargo, ND and can be reached out via phone at 701-417-1334.

Location: 5225 23Rd Ave S, Fargo, ND, 58102-2416
person
Provider Profile Details
NPI Number
1023792413
Provider Name
Merrick Johnson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5225 23Rd Ave S, Fargo, ND, 58102-2416
Phone Number
701-417-1334
Fax Number
Provider Enumeration Date
06/14/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5225 23Rd Ave S
City
State
Zip
58104-7927
Phone Number
701-417-1334
Fax Number
person
Provider Business Mailing Address Details
Address
5225 23Rd Ave S
City
State
Zip
58104-7927
Phone Number
701-417-1334
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
19972 (North Dakota)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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