PHILIP J JOHNSON MD INC

FORT WAYNE, IN
NPI1932574324
Entity TypeOrganization
Authorized ContactPHILIP J JOHNSON
Owner
260-422-4757
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2015-12-10
Last Update Date2015-12-10
Business Address
PHILIP J JOHNSON MD INC
2418 LAKE AVE
FORT WAYNE, IN 46805-5406
Phone number: 260-422-4757
Mailing Address
PHILIP J JOHNSON MD INC
2418 LAKE AVE
FORT WAYNE, IN 46805-5406
Phone number: 260-422-4757