CHARISSE D JOHNSON

GRANGER, IN
NPI1134399025
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: IN  01068390A)
Additional Taxonomies208000000X Pediatrics
(Licence: MI  4301117107)
Enumeration Date2008-03-06
Last Update Date2025-11-24
Business Address
Dr. CHARISSE D JOHNSON MD
229 FLORENCE AVE STE 233
GRANGER, IN 46530-8048
Phone number: 574-855-4575
Mailing Address
Dr. CHARISSE D JOHNSON MD
229 FLORENCE AVE STE 233
GRANGER, IN 46530-8048
Phone number: 574-855-4575