Champlain Sports Medicine PC

NPI #1518106491 in Essex Junction, Vermont

Provider Information

NPI Number
1518106491
Entity Type
Organization
Organization Name
Champlain Sports Medicine PC
Primary Specialty
Neuromusculoskeletal Medicine, Sports Medicine
Enumeration Date
Feb 17, 2009
Last Updated
Jun 13, 2017

Practice Location

Address
67 LINCOLN ST
State
Vermont
ZIP Code
05452-3235
Phone
(802) 878-1003

Authorized Official

Name
DR. JOHN RUSSELL JOHANSSON, DO
Title
OWNER/PHYSICIAN
Phone
(802) 878-1003

Specialties & Taxonomy Codes

Specialty
Neuromusculoskeletal Medicine, Sports Medicine

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