TYLER GUTHRIE JOHNSON

FORT WAYNE, IN
NPI1578798757
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: IN  02003913A)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: MI  5101018131)
390200000X Student in an Organized Health Care Education/Training Program
(Licence: MI  5101018131)
Enumeration Date2009-05-18
Last Update Date2016-03-16
Business Address
Dr. TYLER GUTHRIE JOHNSON DO
2200 RANDALLIA DR
FORT WAYNE, IN 46805-4638
Phone number: 260-373-4000
Mailing Address
Dr. TYLER GUTHRIE JOHNSON DO
3640 NEW VISION DR SUITE A
FORT WAYNE, IN 46845-1717
Phone number: 260-482-4440
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