STACEY JOHNSTON

SOUTH BEND, IN
NPI1144414368
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208M00000X Hospitalist
(Licence: FL  ME137361)
Additional Taxonomies207Q00000X Family Medicine
(Licence: FL  ME137361)
207Q00000X Family Medicine
(Licence: IN  01096098A)
207Q00000X Family Medicine
(Licence: GA  001842)
Enumeration Date2007-08-30
Last Update Date2025-11-07
Business Address
Dr. STACEY JOHNSTON MD
615 N MICHIGAN ST FL 1
SOUTH BEND, IN 46601-1033
Phone number: 574-647-3050
Mailing Address
Dr. STACEY JOHNSTON MD
3245 HEALTH DR STE 100
GRANGER, IN 46530-1380
Phone number: 574-647-3437