Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrew J Johnson, DPM

Individual provider Podiatrist · NPI 1649281361

Andrew J Johnson, DPM is a Podiatry in Detroit Lakes, Minnesota. Graduated from University of Iowa, Rj & L Carver College of Medicine in 2003, 23 years ago. Practices with Sanford Medical Center Fargo, a 1,212-clinician group and accepts Medicare assignment. Licensed in Minnesota and Washington.

Years since qualifying
23
Trained at
University of Iowa, Rj & L Carver College of Medicine
Licensed in
MN, WA
In the registry since
2006
Specialties on file
3
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

1245 S Washington Ave
Detroit Lakes, MN 56501-3905
Phone: (218) 846-2000
Fax: (218) 846-2114
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 801 (MN)
Podiatrist Taxonomy 213E00000X · Licence 801 (MN)
Podiatrist Taxonomy 213E00000X · Licence PO00000770 (WA)

Record details

NPI number1649281361
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedAugust 10, 2006
Last updated in NPPESJune 5, 2026
Certification dateJune 5, 2026
Mailing addressPo Box 5074, Sioux Falls, SD 57117-5074

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolUNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice Sanford Medical Center Fargo — 1212 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Detroit Lakes