| Donald B. Johnson, M.d. | |
|
30 W Mccreight Ave Suite 209 Springfield OH 45504-1842 | |
| (937) 399-6922 | |
| (937) 399-2270 |
| Full Name | Donald B. Johnson, M.d. |
|---|---|
| Speciality | Clinic/center |
| Location | 30 W Mccreight Ave, Springfield, Ohio |
| Authorized Official Name and Position | Mark Wiener (CEO) |
| Authorized Official Contact | 9373289515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Donald B. Johnson, M.d. 30 W Mccreight Ave Suite 209 Springfield OH 45504-1842 Ph: (937) 399-6922 | Donald B. Johnson, M.d. 30 W Mccreight Ave Suite 209 Springfield OH 45504-1842 Ph: (937) 399-6922 |
| NPI Number | 1598713638 |
|---|---|
| Provider Enumeration Date | 05/04/2006 |
| Last Update Date | 06/07/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598713638 | NPI | - | NPPES |
| 2733493 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | N/A (Ohio) | Primary |
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