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Dr. John Russell Johansson, DO
Sports Medicine (Neuromusculoskeletal Medicine) Physician in Essex Junction, Vermont
NPI 1316005960

John Russell Johansson is a Sports Medicine (Neuromusculoskeletal Medicine) Physician based in Essex Junction, VT. John Russell Johansson practices in Essex Junction, VT and has the professional credentials of DO. The NPI Number for John Russell Johansson is 1316005960 and holds a License No. VT 0000304 (Vermont).

The current practice location address for John Russell Johansson is 67 Lincoln St, Essex Junction, VT and can be reached out via phone at 802-878-1003 and via fax at 802-878-9961.

Location: 67 Lincoln St, Essex Junction, VT, 05452-3235
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Provider Profile Details
NPI Number
1316005960
Provider Name
John Russell Johansson
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
67 Lincoln St, Essex Junction, VT, 05452-3235
Phone Number
802-878-1003
Fax Number
802-878-9961
Provider Enumeration Date
12/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
JOVT-9125 05 VT
institution
Provider Business Practice Location Address Details
Address
67 Lincoln St
City
State
Zip
05452-3235
Phone Number
802-878-1003
Fax Number
802-878-9961
person
Provider Business Mailing Address Details
Address
67 Lincoln St
City
State
Zip
05452-3235
Phone Number
802-878-1003
Fax Number
802-878-9961
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Neuromusculoskeletal Medicine, Sports Medicine
Speciality
-
Taxonomy
License No.
VT 0000304 (Vermont)
Definition
Definition to come.
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