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Individual
DAVID CHARLES JOHANNESMEYER
Active
Individual
DAVID CHARLES JOHANNESMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD2017-0982
NM
207X00000X
Orthopaedic Surgery Physician
Primary
MD51972
SC
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
MD51972
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
519727
—
SC
Enumeration date
04/06/2012
Last updated
03/13/2020
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