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1528091824
STEPHEN JOHANTGEN
INDIANAPOLIS, IN
NPI
1528091824
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: IN 01031264)
Enumeration Date
2006-07-09
Last Update Date
2008-11-17
Business Address
-- STEPHEN JOHANTGEN MD
1500 N RITTER AVE
INDIANAPOLIS, IN 46219-3027
Phone number: 317-355-5041
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Mailing Address
-- STEPHEN JOHANTGEN MD
PO BOX 6276 DEPT. 20
INDIANAPOLIS, IN 46206-6276
Phone number: 317-802-3143
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