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1326275975
JOHANES MARTIN ISMAWAN
SAN DIEGO, CA
NPI
1326275975
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: CA a113980)
Enumeration Date
2009-06-22
Last Update Date
2023-06-06
Business Address
Dr. JOHANES MARTIN ISMAWAN M.D.
NAVAL MEDICAL CENTER SAN DIEGO 34800 BOB WILSON DR
SAN DIEGO, CA 92134
Phone number: 619-385-3683
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Mailing Address
Dr. JOHANES MARTIN ISMAWAN M.D.
NAVAL MEDICAL CENTER SAN DIEGO 34800 BOB WILSON DR
SAN DIEGO, CA 92134-5000
Phone number:
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