Individual
DR. CHAD D JOHANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4951 W 18TH ST, LAWRENCE, KS 66047-2090
(785) 841-6540
(785) 841-3129
Mailing address
4951 W 18TH ST, LAWRENCE, KS 66047-2090
(785) 841-6540
(785) 841-3129
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-31529
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201232910A
—
KS
Enumeration date
08/10/2006
Last updated
02/03/2023
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