Jeffrey M Johnsrud, M.D.

NPI #1366516197 in Orange, California

Provider Information

NPI Number: 1366516197
Entity Type: Individual
Name: Jeffrey M Johnsrud, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: M.D.
Enumeration Date: Nov 20, 2006
Last Updated: Oct 27, 2011

Practice Location

Address: 1140 W LA VETA AVE
Address 2: #760
City: Orange
State: California
ZIP Code: 92868-4223
Phone: (714) 541-4442

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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