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1114971223
BRAD M JOHNSTON
FORT WAYNE, IN
NPI
1114971223
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: IN 01056073A)
Enumeration Date
2006-05-22
Last Update Date
2019-04-05
Business Address
Dr. BRAD M JOHNSTON M.D.
3707 NEW VISION DR
FORT WAYNE, IN 46895-5602
Phone number: 260-471-9466
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Mailing Address
Dr. BRAD M JOHNSTON M.D.
3707 NEW VISION DR
FORT WAYNE, IN 46845-1702
Phone number: 260-969-1124
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