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1912906595
RICHARD M JOHNSTON
FORT WAYNE, IN
NPI
1912906595
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: IN 01030223A)
Enumeration Date
2005-07-18
Last Update Date
2018-10-22
Business Address
RICHARD M JOHNSTON MD
5050 N CLINTON ST
FORT WAYNE, IN 46825-5886
Phone number: 260-484-8551
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Mailing Address
RICHARD M JOHNSTON MD
5052 N CLINTON ST
FORT WAYNE, IN 46825-5822
Phone number: 260-484-8551
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