Organization
STEPHANIE M JOHNSON MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE MICHELLE JOHNSON M.D. (SOLE EMPLOYEE)
(812) 522-9761
Entity
Organization
Contact information
Practice address
274 HANNAH AVE, SEYMOUR, IN 47274-4058
(812) 522-9761
(812) 522-9761
Mailing address
274 HANNAH AVE, SEYMOUR, IN 47274-4058
(812) 522-9761
(812) 522-9761
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
01054624A
IN
Other
Enumeration date
02/09/2007
Last updated
08/22/2020
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