Individual
DR. PETER CARL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2737 NAVARRE AVE STE 202, OREGON, OH 43616-3276
(419) 691-5222
(419) 693-6583
Mailing address
2737 NAVARRE AVE STE 202, OREGON, OH 43616-3276
(419) 691-5222
(419) 693-6583
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35066160J
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0975093
—
OH
Enumeration date
01/18/2006
Last updated
02/05/2019
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