Individual
PETER GUSTAVE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
827 LINDEN AVE, BALTIMORE, MD 21201
(410) 225-8000
Mailing address
PO BOX 64522, BALTIMORE, MD 21264
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
R146093
MD
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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