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
- City
- Essex Junction
- 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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| Provider Name | |
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| DR. John Russell Johansson, DO | |
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| Provider Name | |
|---|---|
| Connecticut Valley Orthopaedics & Sports Medicine, PC | |
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