Glenn Ray Johnson in Decorah - Orthopaedic Surgery
Glenn Ray Johnson - NPI 1417950569
Glenn Ray Johnson is a Orthopaedic Surgery in Decorah, Iowa. Glenn Ray Johnson practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for Glenn Ray Johnson is 1417950569. The last update date is 2015-01-22.
Glenn Ray Johnson's current location address is 901 Montgomery St, Decorah, Iowa. You can contact this provider via phone number 5633822911 and fax number 5633873102. The mailing address for Glenn Ray Johnson is 901 Montgomery St, Decorah, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glenn Ray Johnson |
|---|---|
| Address | 901 Montgomery St, Decorah, Iowa |
| Phone Number | 5633822911 |
| Fax Number | 5633873102 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1417950569 |
|---|---|
| Provider Enumeration Date | 2005-05-23 |
| Last Updated Date | 2015-01-22 |
Provider Mailing Address Detail
| Address | 901 Montgomery St |
|---|---|
| City | Decorah |
| State | Iowa (IA) |
| Post Code | 5210123250 |
| Phone Number | 5633822911 |
| Fax Number | 5633873102 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopaedic Surgery |
|---|---|
| Taxonomy | 207X00000X |
| Licence No | 215501 |
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Definition: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the car |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1417950569 | IA | -- |
Post Comment/ Review Below
What is the Glenn Ray Johnson's 1417950569?
The Glenn Ray Johnson's NPI (National Provider Identifier) Number is 1417950569. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Glenn Ray Johnson?
The Glenn Ray Johnson is situated at 901 Montgomery St, in the city of Decorah, state of IA, with the zip code 5210123250.
What is Glenn Ray Johnson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Glenn Ray Johnson is Orthopaedic Surgery, and the corresponding taxonomy classification code for this specialized field is 207X00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1417950569 to Glenn Ray Johnson?
The Glenn Ray Johnson received its 1417950569 assignment from the Centers for Medicare & Medicaid Services on 2005-05-23.
As of what date was the information regarding Glenn Ray Johnson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Glenn Ray Johnson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-01-22.