| Brian A Johnson Md Pc | |
|
613 Terrace Dr Winamac IN 46996-1111 | |
| (574) 946-6644 | |
| Not Available |
| Full Name | Brian A Johnson Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 613 Terrace Dr, Winamac, Indiana |
| Authorized Official Name and Position | Brian A Johnson (PRESIDENT) |
| Authorized Official Contact | 5749466644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian A Johnson Md Pc Po Box 277 Winamac IN 46996-0277 Ph: (574) 946-6644 | Brian A Johnson Md Pc 613 Terrace Dr Winamac IN 46996-1111 Ph: (574) 946-6644 |
| NPI Number | 1043356439 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043356439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01037880 (Indiana) | Primary |
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