NPI 1023792413

Merrick Johnson, MD

Practitioner Student in an Organized Health Care Education/Training Program Fargo, ND

Practice location

Address: 5225 23rd Ave S, Fargo, ND 58104-7927
Phone: (701) 417-1334
Mailing address: 1919 Elm St N, Fargo, ND 58102-2416

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X Licence 19972 (ND)

Other Student in an Organized Health Care Education/Training Program providers in North Dakota →

Registry record

NPI: 1023792413
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Jun 2023
Record last updated: 14 Jun 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.