Individual
TODD L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4466 FULTON DR NW, CANTON, OH 44718-2864
(330) 489-1386
(330) 489-1258
Mailing address
4466 FULTON DR NW, CANTON, OH 44718-2864
(330) 489-1386
(330) 489-1258
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35-06-2104-J
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0253256
—
OH
01
—
1003850710
MEDICARE RAILROAD
—
Enumeration date
06/15/2006
Last updated
11/11/2008
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