Individual
JEREMY PHILIP JOHNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 SUPERIOR AVE STE 6100, MUNSTER, IN 46321-4037
(219) 922-4081
(219) 922-5880
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01096607A
IN
207R00000X
Internal Medicine Physician
25MA10714800
NJ
207RH0003X
Hematology & Oncology Physician
Primary
01096607A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
NJ
Other
Enumeration date
10/09/2016
Last updated
04/10/2026
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