Individual
DR. BRIAN ERNEST JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11050 PARKVIEW CIRCLE DR, FORT WAYNE, IN 46845-1739
(833) 724-8326
(260) 425-6845
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
01085289A
IN
207RH0003X
Hematology & Oncology Physician
036.145254
IL
390200000X
Student in an Organized Health Care Education/Training Program
11018429A
IN
Other
Enumeration date
06/15/2015
Last updated
10/14/2022
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