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Individual

DR. JOHN A JOHANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
605 CRESCENT PL, GAHANNA, OH 43230-3086
(614) 545-7900
(614) 545-7901
Mailing address
340 POLARIS PKWY, WESTERVILLE, OH 43082-7971
(614) 545-7900
(614) 545-7901

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
35.095784
OH
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
35.095784
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3141675
OH
Enumeration date
10/08/2008
Last updated
05/21/2025
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