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Dr. Marvin Wade Johnson SR., MD
Family Medicine Physician in Lake Butler, Florida
NPI 1346244092

Marvin Wade Johnson SR. is a Family Medicine Physician based in Lake Butler, FL. Marvin Wade Johnson SR. practices in Lake Butler, FL and has the professional credentials of MD. The NPI Number for Marvin Wade Johnson SR. is 1346244092 and holds a License No. ME0011466 (Florida).

The current practice location address for Marvin Wade Johnson SR. is 850 E Main St, Lake Butler, FL and can be reached out via phone at 386-496-2406 and via fax at 386-496-3362.

Location: 850 E Main St, Lake Butler, FL, 32054-0478
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346244092
Provider Name
Marvin Wade Johnson SR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
850 E Main St, Lake Butler, FL, 32054-0478
Phone Number
386-496-2406
Fax Number
386-496-3362
Provider Enumeration Date
06/10/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
065935500 05 FL
53331 01 FL BCBS
institution
Provider Business Practice Location Address Details
Address
850 E Main St
City
Lake Butler
State
Florida
Zip
32054-1348
Phone Number
386-496-2406
Fax Number
386-496-3362
person
Provider Business Mailing Address Details
Address
850 E Main St
City
Lake Butler
State
Florida
Zip
32054-1348
Phone Number
386-496-2406
Fax Number
386-496-3362
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
ME0011466 (Florida)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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