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1083720817
MICHAEL JOHNSON
INDIANAPOLIS, IN
NPI
1083720817
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IN 01034992)
Enumeration Date
2006-08-22
Last Update Date
2021-01-13
Business Address
MICHAEL JOHNSON M.D.
550 UNIVERSITY BLVD UH 3005
INDIANAPOLIS, IN 46202-5149
Phone number: 317-944-2167
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Mailing Address
MICHAEL JOHNSON M.D.
250 N SHADELAND AVE STE 130 PROVIDER ENROLLMENT
INDIANAPOLIS, IN 46219-4959
Phone number:
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