Organization
BRIAN A JOHNSON MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN A JOHNSON MD (PRESIDENT)
(574) 946-6644
Entity
Organization
Contact information
Practice address
613 TERRACE DR, WINAMAC, IN 46996-1111
(574) 946-6644
Mailing address
PO BOX 277, WINAMAC, IN 46996-0277
(574) 946-6644
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01037880
IN
Other
Enumeration date
01/30/2007
Last updated
08/22/2020
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