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Matthew Alan Johansen, MD
Adult Reconstructive Orthopedic Surgery Physician in Cincinnati, Ohio
NPI 1265757769

Matthew Alan Johansen is an Adult Reconstructive Orthopedic Surgery Physician based in Cincinnati, OH and is specialized in Adult Reconstructive Orthopedic Surgery. Matthew Alan Johansen practices in Cincinnati, OH and has the professional credentials of MD. The NPI Number for Matthew Alan Johansen is 1265757769 and holds a License No. 0101258243 (Ohio).

The current practice location address for Matthew Alan Johansen is 6480 Harrison Ave, Cincinnati, OH and can be reached out via phone at 513-354-3700 and via fax at 513-354-7651.

Location: 6480 Harrison Ave, Cincinnati, OH, 45247-7961
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265757769
Provider Name
Matthew Alan Johansen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
6480 Harrison Ave, Cincinnati, OH, 45247-7961
Phone Number
513-354-3700
Fax Number
513-354-7651
Provider Enumeration Date
03/29/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6480 Harrison Ave
City
Cincinnati
State
Ohio
Zip
45247-7961
Phone Number
513-354-3700
Fax Number
513-354-7651
person
Provider Business Mailing Address Details
Address
6480 Harrison Ave
City
Cincinnati
State
Ohio
Zip
45247-7961
Phone Number
513-354-3700
Fax Number
513-354-7651
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Adult Reconstructive Orthopedic Surgery
Taxonomy
207XS0114X
License No.
D79334 (Maryland)
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopedic surgery, adult reconstructive orthopedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
0101258243 (Virginia)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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