Greg R Johnson, DO
NPI #1013960269 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1013960269
- Entity Type
- Individual
- Name
- Greg R Johnson, DO
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Internal Medicine - Nephrology
- Credential
- DO
- Enumeration Date
- May 18, 2006
- Last Updated
- Dec 21, 2022
Practice Location
- Address
- 3909 NEW VISION DR
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46845-1725
- Phone
- (260) 469-6602
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Nephrology — Nephrology |
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