Wallace E Johnson, MD

NPI #1902833619 in Fairport, New York

Provider Information

NPI Number: 1902833619
Entity Type: Individual
Name: Wallace E Johnson, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Jun 27, 2006
Last Updated: Jul 3, 2023

Practice Location

Address: 800 AYRAULT RD STE 200
City: Fairport
State: New York
ZIP Code: 14450-8941
Phone: (585) 602-2300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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