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1932338613
STEFAN WALTER JOHNSON
GRAND FORKS, ND
NPI
1932338613
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: ND 13356)
Additional Taxonomies
208600000X Surgery
(Licence: MN 64958)
Enumeration Date
2009-07-02
Last Update Date
2020-06-08
Business Address
STEFAN WALTER JOHNSON MD
1300 S COLUMBIA RD
GRAND FORKS, ND 58201
Phone number: 701-780-2300
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Mailing Address
STEFAN WALTER JOHNSON MD
2401 DEMERS AVE
GRAND FORKS, ND 58201
Phone number: 701-780-1891
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