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Individual

DR. SHAWN MARK JOHNSON

Active
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Individual

DR. SHAWN MARK JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01061755A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1811908445
MI
05
200812580
IN
05
2658520
OH
Enumeration date
08/10/2006
Last updated
06/17/2016
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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