MARC THOMAS JOHANNSEN

PORTSMOUTH, VA
NPI1538329644
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: FL  OS15809)
Enumeration Date2008-06-11
Last Update Date2023-03-28
Business Address
MARC THOMAS JOHANNSEN D.O.
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708-2111
Phone number: 757-953-5000
Mailing Address
MARC THOMAS JOHANNSEN D.O.
1520 VINELAND CIR UNIT B
FLEMING ISLAND, FL 32003-3298
Phone number: 757-390-1319
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