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Individual

DR. DAVID MARTIN JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
36 OLD SOUTH FREEPORT ROAD, FREEPORT, ME 04032-6146
(207) 865-0341
(207) 865-0817
Mailing address
36 OLD SOUTH FREEPORT ROAD, FREEPORT, ME 04032-6146
(207) 865-0341
(207) 865-0817

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
795
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103890000
ME
Enumeration date
09/15/2006
Last updated
08/19/2008
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