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Greg R Johnson, DO
Nephrology Physician in Fort Wayne, Indiana
NPI 1013960269

Greg R Johnson is a Nephrology Physician based in Fort Wayne, IN and is specialized in Nephrology. Greg R Johnson practices in Fort Wayne, IN and has the professional credentials of DO. The NPI Number for Greg R Johnson is 1013960269 and holds a License No. 02001531A (Indiana).

The current practice location address for Greg R Johnson is 3909 New Vision Dr, Fort Wayne, IN and can be reached out via phone at 260-469-6602 and via fax at 260-969-3065.

Location: 3909 New Vision Dr, Fort Wayne, IN, 46845-1701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013960269
Provider Name
Greg R Johnson
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
3909 New Vision Dr, Fort Wayne, IN, 46845-1701
Phone Number
260-469-6602
Fax Number
260-969-3065
Provider Enumeration Date
05/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000675115 01 IN ANTHEM
200015220 05 IN
P00895098 01 IN R.R. MEDICARE
institution
Provider Business Practice Location Address Details
Address
3909 New Vision Dr
City
Fort Wayne
State
Indiana
Zip
46845-1725
Phone Number
260-469-6602
Fax Number
260-969-3065
person
Provider Business Mailing Address Details
Address
3909 New Vision Dr
City
Fort Wayne
State
Indiana
Zip
46845-1725
Phone Number
260-469-6602
Fax Number
260-969-3065
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Nephrology
Taxonomy
207RN0300X
License No.
02001531A (Indiana)
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
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