Search › Indiana › 207QS0010X
David Johnson, DO
NPI 1467981464 · on the registry since 2017
Practice
- Address
- 611 E Douglas Rd Ste 137
Mishawaka, IN 46545 - Phone
- (574) 335-6214
- Fax
- (574) 335-6215
- Organisation at this address
- The Centre Pc
The Centre Llc
Msm Holdco, Llc
Labcorp Indiana Inc
Midwest Medical Group, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 149
Registry record
- Primary taxonomy
- 207QS0010X
207QS0010X
- Also registered as
- 207Q00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-11-08
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 Indiana