Douglas Johansen, DDS

NPI 1366571200 · on the registry since 2007 · sole proprietor

Practice

Address: 57418 County Road 681
Hartford, MI 49057
Phone: (269) 621-3143
Organisation at this address: Van Buren Cass District Health Department
Van Buren/Cass District Health Department
Van Buren Cass District Public Health Dept
Van Buren Community Mental Health Authority
Van Buren-Cass County District Health Department
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 16

Registry record

Primary taxonomy: 122300000X
122300000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan