# PETER C. JOHNSON MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912565821
- **Authorized official:** DR. PETER CARL JOHNSON MD (OWNER/PHYSICIAN)
- **Authorized official phone:** (419) 691-5222

## Contact information

- **Practice address:** 2737 NAVARRE AVE STE 202, OREGON, OH 43616-3276
- **Practice address phone:** (419) 691-5222
- **Practice address fax:** (419) 691-5222
- **Mailing address:** 2737 NAVARRE AVE STE 202, OREGON, OH 43616-3276
- **Mailing address phone:** (419) 691-5222
- **Mailing address fax:** (419) 691-5222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 261Q00000X | Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 06/05/2019
- **Last updated:** 06/05/2019