Individual
DREW JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1010 FAIRWAY DR, FREEPORT, IL 61032-6600
(806) 599-6000
Mailing address
1010 FAIRWAY DR, FREEPORT, IL 61032-6600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036.156907
IL
207Q00000X
Family Medicine Physician
S4978
TX
208M00000X
Hospitalist Physician
S4978
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/24/2018
Last updated
07/10/2021
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