Individual
DR. WILLIAM A JOHNSON IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5300 HARROUN RD, SUITE 118, SYLVANIA, OH 43560-2182
(419) 824-1399
(419) 824-1772
Mailing address
5300 HARROUN RD, SUITE 118, SYLVANIA, OH 43560-2182
(419) 824-1399
(419) 824-1772
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
125049506
IL
207Y00000X
Otolaryngology Physician
Primary
35095934
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3082597
—
OH
Enumeration date
05/23/2008
Last updated
05/01/2012
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