Individual
DR. VIETTA LOUISE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5454 S HOHMAN AVE, HAMMOND, IN 46320-1931
(219) 933-2654
(219) 933-2655
Mailing address
PO BOX 1000, DYER, IN 46311-0800
(219) 864-2107
(219) 864-2649
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01045972A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200136030
—
IN
Enumeration date
05/16/2006
Last updated
07/25/2011
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