NPI
Mark E Johnson
NPI 1568454502
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- MD
- Type
- Individual
- Enumeration date
- 2005-08-16
- Last updated
- 2024-08-26
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Specialties
Licenses
- License MN
- 33783
Location
- Practice location
- 1200 Sixth Ave N, Centracare Clinic
- City
- St Cloud MN
- Postal code
- 56303-2735
- Phone
- (320) 252-5131
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in St Cloud, MN. 528 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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