IndividualActive
Wade Johnson, DO
NPI 1235530890 · Sports Medicine (Physical Medicine & Rehabilitation) Physician · Mankato, MN
Provider details
- NPI number
- 1235530890
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 63980 (MN)
Mailing address
200 1st St Sw
Rochester, MN 55905-0001
Registry dates
- Enumerated
- 2014-09-14
- Last updated
- 2020-10-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.