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Search › South Dakota › 207RE0101X

Jake Johnson

NPI 1225698921 · on the registry since 2019

Practice

Address
1305 W 18th St
Sioux Falls, SD 57105
Phone
(605) 328-8700
Organisation at this address
Sanford Clinic
Sanford Clinic
Sanford Clinic
Sanford Clinic
Sanford Clinic
Inferred from a shared address, not stated in the registry.
Clinicians at this address
478

Registry record

Primary taxonomy
207RE0101X
207RE0101X
Also registered as
207R00000X
Licence states on file
NE, SD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-09-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Dakota