Individual
GRETCHEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
8102 CLEARVISTA PKWY, INDIANAPOLIS, IN 46256-1661
(317) 849-8222
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
02005876A
IN
Other
Enumeration date
04/06/2018
Last updated
09/21/2022
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