Individual
DR. DAVID ALLEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4084 NORTH U.S HWY 33, CHURUBUSCO, IN 46723-1700
(260) 373-9595
(260) 373-9599
Mailing address
3926 NEW VISION DR, SUITE 3, FORT WAYNE, IN 46845-1712
(260) 266-8210
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01040579
IN
Other
Enumeration date
07/20/2005
Last updated
02/17/2017
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