Individual
AMY GRACE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
(765) 741-1095
Mailing address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
(765) 741-1095
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
35.138097
OH
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/01/2018
Last updated
11/26/2019
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