Debra Deanovic Johnson in Bloomington - Pediatrics

Debra Deanovic Johnson - NPI 1124093265

Debra Deanovic Johnson is a Pediatrics in Bloomington, Minnesota. Debra Deanovic Johnson practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Debra Deanovic Johnson is 1124093265. The last update date is 2020-02-28.

Debra Deanovic Johnson's current location address is 8170 33rd Ave S, Bloomington, Minnesota. You can contact this provider via phone number 9529677676 and fax number 6123411432. The mailing address for Debra Deanovic Johnson is 8170 33rd Ave S, Bloomington, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Debra Deanovic Johnson
Address 8170 33rd Ave S, Bloomington, Minnesota
Phone Number 9529677676
Fax Number 6123411432
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1124093265
Provider Enumeration Date 2006-02-22
Last Updated Date 2020-02-28

Provider Mailing Address Detail

Address 8170 33rd Ave S
City Bloomington
State Minnesota (MN)
Post Code 554254516
Phone Number 9529677676
Fax Number 6123411432

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 26260
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
310382000 MN --

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FAQs about Debra Deanovic Johnson

What is the Debra Deanovic Johnson's 1124093265?

The Debra Deanovic Johnson's NPI (National Provider Identifier) Number is 1124093265. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Debra Deanovic Johnson is located?

The Debra Deanovic Johnson is situated at the following address: 8170 33Rd Ave S, Bloomington, MN, 554254516.

What is Debra Deanovic Johnson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Debra Deanovic Johnson is Pediatrics, and the taxonomy code that categorizes this field of expertise is 208000000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1124093265 to Debra Deanovic Johnson?

The Centers for Medicare & Medicaid Services assigned the 1124093265 to Debra Deanovic Johnson on 2006-02-22.

As of what date was the information regarding Debra Deanovic Johnson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Debra Deanovic Johnson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-02-28.

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