Individual
DR. WILLIAM J JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
610 E SOUTHPORT RD, SUITE 205, INDIANAPOLIS, IN 46227-8590
(317) 781-7370
(317) 782-8880
Mailing address
PO BOX 664056, INDIANAPOLIS, IN 46266-4056
(317) 859-3737
(317) 859-3730
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01050898A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200206050A
—
IN
Enumeration date
11/16/2005
Last updated
10/09/2013
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