Brian a Johnson MD PC

NPI #1467535799 in Winamac, Indiana

Provider Information

NPI Number
1467535799
Entity Type
Organization
Organization Name
Brian a Johnson MD PC
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Oct 23, 2006
Last Updated
Jun 20, 2008

Practice Location

Address
613 TERRACE DR
State
Indiana
ZIP Code
46996-1111
Phone
(574) 946-6644

Authorized Official

Name
DIRENDIA SHACKELFORD
Title
MANAGED CARE SPECIALIST
Phone
(800) 654-0889

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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