IndividualActive
Max Johnson, MD
NPI 1679559975 · Retina Specialist (Ophthalmology) Physician · Fargo, ND
Provider details
- NPI number
- 1679559975
- Entity type
- Individual
- Primary specialty
- Retina Specialist (Ophthalmology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 5573 (ND)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4450 31st Ave S Ste 200
Fargo, ND 58104-4556
Phone: (701) 293-9829
Fax: (701) 293-0111
Approximate (ZIP-level) locationGet directions
Mailing address
4450 31st Ave S Ste 200
Fargo, ND 58104-4556
Registry dates
- Enumerated
- 2005-12-19
- Last updated
- 2022-01-04
- Certified
- 2022-01-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.