CHAD JOHNSON

BLOOMINGTON, IN
NPI1639286537
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207L00000X Anesthesiology
(Licence: IN  01049551A)
Enumeration Date2006-08-24
Last Update Date2007-07-08
Business Address
-- CHAD JOHNSON M.D.
601 W 2ND ST
BLOOMINGTON, IN 47403-2317
Phone number: 812-334-8958
Mailing Address
-- CHAD JOHNSON M.D.
908 N WALNUT ST
BLOOMINGTON, IN 47404-3525
Phone number: 812-334-8958
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