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Search › Indiana › 208000000X

Dwayne Johnson, M.D

NPI 1841379187 · on the registry since 2006 · sole proprietor

Practice

Address
236 Simpson Ave
Elkhart, IN 46516
Phone
(574) 584-7373
Fax
(574) 293-3744
Organisation at this address
Heart City Health Center, Inc.
Heart City Health Center Pharmacy
Inferred from a shared address, not stated in the registry.
Clinicians at this address
29

Registry record

Primary taxonomy
208000000X
208000000X
Also registered as
208000000X
Licence states on file
IN, KY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-11-03

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