Individual
RYAN M JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 W. UNIVERSITY AVE., MUNCIE, IN 47303-3428
(765) 747-8481
(765) 751-5087
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01060646A
IN
208M00000X
Hospitalist Physician
01060646A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200818930
—
IN
Enumeration date
06/05/2006
Last updated
02/04/2021
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