SearchOhio103TM1800X

Mark Johnson

NPI 1609463801 · on the registry since 2020 · sole proprietor

Practice

Address
5626 Cresthaven Ln
Toledo, OH 43614
Phone
(419) 810-4375

Registry record

Primary taxonomy
103TM1800X
103TM1800X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-12-22

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 Ohio