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1003801283
RUSSELL F JOHNSON
ELKHART, IN
NPI
1003801283
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0001X Radiology, Radiation Oncology
(Licence: IN 01039533)
Enumeration Date
2005-09-14
Last Update Date
2021-07-16
Business Address
RUSSELL F JOHNSON MD
1215 LAWN AVE STE 120
ELKHART, IN 46514-2450
Phone number: 574-523-2733
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Mailing Address
RUSSELL F JOHNSON MD
710 N NILES AVE
SOUTH BEND, IN 46617-1924
Phone number: 574-647-1610
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