Individual
STEFAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 448-0218
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 448-0218
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
310010-01
NY
2085R0202X
Diagnostic Radiology Physician
Primary
35.141453
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2016
Last updated
07/08/2021
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