Organization
GENERAL RADIOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK CHRISTIAN JOHANNSEN MD (PRESIDENT GENERAL RADIOLOGY)
(402) 721-4866
Entity
Organization
Contact information
Practice address
450 E 23RD ST, FREMONT, NE 68025
(402) 721-3070
(402) 727-3513
Mailing address
415 EAST 23RD ST, STE 210, FREMONT, NE 68025-2393
(402) 721-4866
(402) 721-3229
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
05/10/2007
Last updated
04/30/2008
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