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Individual
MR. PETER J. JOHNSON
Active
Individual
MR. PETER J. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036127758
IL
390200000X
Student in an Organized Health Care Education/Training Program
MDR5274
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036127758
—
IL
Enumeration date
06/25/2007
Last updated
03/18/2021
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