person
Mark E Johnson, MD
Cardiovascular Disease Physician in St Cloud, Minnesota
NPI 1568454502

Mark E Johnson is a Cardiovascular Disease Physician based in St Cloud, MN and is specialized in Cardiovascular Disease. Mark E Johnson practices in St Cloud, MN and has the professional credentials of MD. The NPI Number for Mark E Johnson is 1568454502 and holds a License No. 33783 (Minnesota).

The current practice location address for Mark E Johnson is 1200 Sixth Ave N, St Cloud, MN and can be reached out via phone at 320-252-5131 and via fax at 320-255-5714.

Location: 1200 Sixth Ave N, St Cloud, MN, 56303-2735
person
Provider Profile Details
NPI Number
1568454502
Provider Name
Mark E Johnson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1200 Sixth Ave N, St Cloud, MN, 56303-2735
Phone Number
320-252-5131
Fax Number
320-255-5714
Provider Enumeration Date
08/16/2005
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
600885 01 ARAZ GROUP AMERICAS PPO
HP25456 01 HEALTH PARTNERS
110104487 01 RR MEDICARE
110904 01 U CARE
2114001 01 FIRST HEALTH PLAN
6D71JO 01 BLUE CROSS BLUE SHIELD
986014 01 PREFERRED ONE
2529937 01 MEDICA HEALTH PLANS
686002800 05 MN
686002800 01 MEDICAL ASSISTANCE
institution
Provider Business Practice Location Address Details
Address
1200 Sixth Ave N
City
State
Zip
56303-2735
Phone Number
320-252-5131
Fax Number
320-255-5714
person
Provider Business Mailing Address Details
Address
1200 Sixth Ave N
City
State
Zip
56303-2735
Phone Number
320-252-5131
Fax Number
320-255-5714
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
License No.
33783 (Minnesota)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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