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Mark Christian Johannsen, MD
Diagnostic Radiology Physician in Fremont, Nebraska
NPI 1609812718

Mark Christian Johannsen is a Diagnostic Radiology Physician based in Fremont, NE and is specialized in Diagnostic Radiology. Mark Christian Johannsen practices in Fremont, NE and has the professional credentials of MD. The NPI Number for Mark Christian Johannsen is 1609812718 and holds a License No. 19406 (Nebraska).

The current practice location address for Mark Christian Johannsen is 450 E 23Rd St, Fremont, NE and can be reached out via phone at 402-721-3070 and via fax at 402-727-3513.

Location: 450 E 23Rd St, Fremont, NE, 68025-2343
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609812718
Provider Name
Mark Christian Johannsen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
450 E 23Rd St, Fremont, NE, 68025-2343
Phone Number
402-721-3070
Fax Number
402-727-3513
Provider Enumeration Date
06/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
47058135000 05 NE
institution
Provider Business Practice Location Address Details
Address
450 E 23Rd St
City
Fremont
State
Nebraska
Zip
68025
Phone Number
402-721-3070
Fax Number
402-727-3513
person
Provider Business Mailing Address Details
Address
450 E 23Rd St
City
Fremont
State
Nebraska
Zip
68025
Phone Number
402-721-3070
Fax Number
402-727-3513
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
19406 (Nebraska)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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