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Marc Thomas Johannsen, DO
Diagnostic Radiology Physician in Portsmouth, Virginia
NPI 1538329644

Marc Thomas Johannsen is a Diagnostic Radiology Physician based in Fleming Island, VA and is specialized in Diagnostic Radiology. Marc Thomas Johannsen practices in Portsmouth, VA and has the professional credentials of DO. The NPI Number for Marc Thomas Johannsen is 1538329644 and holds a License No. OS15809 (Virginia).

The current practice location address for Marc Thomas Johannsen is 620 John Paul Jones Cir, Portsmouth, VA and can be reached out via phone at 757-953-5000.

Location: 620 John Paul Jones Cir, Portsmouth, VA, 32003-3298
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538329644
Provider Name
Marc Thomas Johannsen
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
620 John Paul Jones Cir, Portsmouth, VA, 32003-3298
Phone Number
757-953-5000
Fax Number
Provider Enumeration Date
06/11/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CEFLH 01 FL BCBS
PB211 01 FL MEDICARE PTAN OHRI
113776200 05 FL
PS103 01 FL MEDICARE PTAN OHMG
institution
Provider Business Practice Location Address Details
Address
620 John Paul Jones Cir
City
Portsmouth
State
Virginia
Zip
23708-2111
Phone Number
757-953-5000
Fax Number
person
Provider Business Mailing Address Details
Address
620 John Paul Jones Cir
City
Portsmouth
State
Virginia
Zip
23708-2111
Phone Number
757-953-5000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
OS15809 (Florida)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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