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1578772158
MICHAEL W. JOHANSEN
INDIANAPOLIS, IN
NPI
1578772158
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080P0202X Pediatrics Pediatric Cardiology
(Licence: IN 02003367)
Enumeration Date
2007-05-21
Last Update Date
2021-01-13
Business Address
DR. MICHAEL W. JOHANSEN D.O.
705 RILEY HOSPITAL DR RI 1134
INDIANAPOLIS, IN 46202-5109
Phone number: 317-944-8906
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Mailing Address
DR. MICHAEL W. JOHANSEN D.O.
PO BOX 1026
INDIANAPOLIS, IN 46206-1026
Phone number: 317-777-6435
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