Individual
STEPHEN J JOHANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 SAINT ELIZABETH BLVD STE 3900, O FALLON, IL 62269-1282
(888) 828-8608
Mailing address
12855 N 40 DR STE 375, SAINT LOUIS, MO 63141-8657
(314) 806-1770
(314) 558-9017
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
036156623
IL
207T00000X
Neurological Surgery Physician
2019024514
MO
Other
Enumeration date
04/09/2012
Last updated
01/22/2024
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