Individual
CHARLES M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 778-7800
Mailing address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 778-4801
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NA02053
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0748436
—
OH
Enumeration date
07/13/2006
Last updated
12/27/2021
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