MICHAEL W. JOHANSEN

INDIANAPOLIS, IN
NPI1578772158
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2080P0202X Pediatrics, Pediatric Cardiology
(Licence: IN  02003367)
Enumeration Date2007-05-21
Last Update Date2021-01-13
Business Address
Dr. MICHAEL W. JOHANSEN D.O.
705 RILEY HOSPITAL DR RI 1134
INDIANAPOLIS, IN 46202-5109
Phone number: 317-944-8906
Mailing Address
Dr. MICHAEL W. JOHANSEN D.O.
PO BOX 1026
INDIANAPOLIS, IN 46206-1026
Phone number: 317-777-6435