Individual
HEIDI ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4778 S SCATTERFIELD RD, ANDERSON, IN 46013-2908
(765) 646-6331
Mailing address
4778 S SCATTERFIELD RD, ANDERSON, IN 46013-2908
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01048906A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000313568
BCBS
IN
05
—
200295890A
—
IN
Enumeration date
01/15/2007
Last updated
10/26/2022
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