# STEVEN M JOHNSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1598724767
- **Gender:** Man
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 02002166A | IN | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | 2015015367 | MO | — |
| 207V00000X | Obstetrics & Gynecology Physician | 46941-21 | WI | — |
| 207V00000X | Obstetrics & Gynecology Physician | DO-03490 | IA | — |

## Other

- **Enumeration date:** 03/17/2006
- **Last updated:** 04/06/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000335812 | BLUE CROSS | IN |
| 01 | — | 000000977633 | ANTHEM | IN |
| 05 | — | 200182600 | — | IN |