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Individual

DR. JAY A JOHANNIGMAN

Active
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Individual

DR. JAY A JOHANNIGMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
0101269358
VA
2086S0102X
Surgical Critical Care Physician
35-057183
OH
2086S0127X
Trauma Surgery Physician
35.057183
OH
2086S0127X
Trauma Surgery Physician
M-16154
ID
2086S0127X
Trauma Surgery Physician
S8193
TX

Other

Enumeration date
10/05/2005
Last updated
08/22/2024
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