Dr. Sean K Johnston, M.D.

Radiology, Diagnostic Radiology in Roseville, MN. Individual provider (NPI-1).

NPI number1609052000

StatusActive

Last updated in NPPESApr 12, 2022

Details

NPI: 1609052000
Entity type: Individual (NPI-1)
Name: Dr. Sean K Johnston
Credential: M.D.
Sex: Male
Sole proprietor: No
Enumeration date: Jan 15, 2008
Certification date: Apr 12, 2022
Last updated: Apr 12, 2022

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
2085R0202X	Radiology, Diagnostic Radiology	71179	MN	Yes
2085R0202X	Radiology, Diagnostic Radiology	c136738	CA
2085R0202X	Radiology, Diagnostic Radiology	35097777	OH
2085R0202X	Radiology, Diagnostic Radiology	P4768	TX
2085R0202X	Radiology, Diagnostic Radiology	MD.201955	LA

Practice location

2355 Hwy 36 W.
Ste. 100
Roseville, MN 55113-3905

Phone 651-292-2000

Mailing address

2355 Hwy 36 W.
Ste. 100
Roseville, MN 55113-3905

Phone 651-292-2000

Other practice locations

1500 San Pablo St Fl 2
Los Angeles, CA 90033-5313

Phone 323-442-8541

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