DR. Ryan Michael Johnson, D.O.

NPI #1932559119 in Normal, Illinois

Provider Information

NPI Number: 1932559119
Entity Type: Individual
Name: DR. Ryan Michael Johnson, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Neurological Surgery
Credential: D.O.
Enumeration Date: Jun 17, 2016
Last Updated: Jun 17, 2016

Practice Location

Address: 1300 FRANKLIN AVE STE 110
City: Normal
State: Illinois
ZIP Code: 61761-3799
Phone: (309) 268-3502

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Neurological Surgery	207T00000X	Primary

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