MERRICK JOHNSON

FARGO, ND
NPI1023792413
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: ND  19972)
Enumeration Date2023-06-14
Last Update Date2023-06-14
Business Address
MERRICK JOHNSON MD
5225 23RD AVE S
FARGO, ND 58104-7927
Phone number: 701-417-1334
Mailing Address
MERRICK JOHNSON MD
1919 ELM ST N
FARGO, ND 58102-2416
Phone number: