| David Wendell Johnson, MD | |
|
401 Phalen Boulevard, Mail Stop 41102e, St Paul, MN 55101-5302 | |
| (651) 254-7500 | |
| (651) 254-7557 |
| Full Name | David Wendell Johnson |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Location | 401 Phalen Boulevard, St Paul, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811964117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 32520 (Minnesota) | Primary |
| Entity Name | Group Health Plan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
| Mailing Address | Practice Location Address |
|---|---|
| David Wendell Johnson, MD 8170 33rd Ave S # Ms 21110q, Minneapolis, MN 55425-4516 Ph: () - | David Wendell Johnson, MD 401 Phalen Boulevard, Mail Stop 41102e, St Paul, MN 55101-5302 Ph: (651) 254-7500 |
Jerry L Kobrin, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 401 Phalen Boulevard, Mail Stop 41102e, St Paul, MN 55101 Phone: 651-254-7500 Fax: 651-254-7557 | |
Anthony J Pfaff, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 401 Phalen Blvd, Mail Stop 41102e, St Paul, MN 55101 Phone: 651-254-7500 Fax: 651-254-7557 | |
Dr. Martin G Bruhl, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 393 North Dunlap Street Ste 725, Lexington Eye Associates Pa, St Paul, MN 55104 Phone: 651-646-7419 Fax: 651-646-7419 | |
John Daniel Nelson, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 401 Phalen Blvd, Mail Stop 41102e, St Paul, MN 55101 Phone: 651-254-7500 Fax: 651-254-7557 | |
Leslie A Kopietz, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 401 Phalen Blvd, Mail Stop 41102e, St Paul, MN 55101 Phone: 651-254-7500 Fax: 651-254-7557 |