IndividualActive
Jeremiah Johnson, M.D.
NPI 1386031433 · Sports Medicine (Orthopaedic Surgery) Physician · Eagan, MN
Provider details
- NPI number
- 1386031433
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 71712 (MN)
Mailing address
4200 Dahlberg Dr Ste 300
Golden Valley, MN 55422-4841
Registry dates
- Enumerated
- 2015-04-15
- Last updated
- 2024-08-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.