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1609812718
MARK CHRISTIAN JOHANNSEN
FREMONT, NE
NPI
1609812718
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: NE 19406)
Enumeration Date
2006-06-20
Last Update Date
2007-07-08
Business Address
-- MARK CHRISTIAN JOHANNSEN MD
450 E 23RD ST
FREMONT, NE 68025
Phone number: 402-721-3070
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Mailing Address
-- MARK CHRISTIAN JOHANNSEN MD
415 EAST 23RD ST STE 210
FREMONT, NE 68025-2343
Phone number: 402-721-4866
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