Individual
REBECCA J. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
201 S MAIN ST, MILFORD, IN 46542-3004
(574) 658-4142
(574) 658-3160
Mailing address
201 S MAIN ST, MILFORD, IN 46542-3004
(574) 658-4142
(574) 658-3160
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02002877A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200280270
—
IN
Enumeration date
06/15/2006
Last updated
03/18/2024
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