person
Dr. Dwayne Edward Johnson, MD
Pediatrics Physician in Elkhart, Indiana
NPI 1841379187

Dwayne Edward Johnson is a Pediatrics Physician based in Elkhart, IN. Dwayne Edward Johnson practices in Elkhart, IN and has the professional credentials of MD. The NPI Number for Dwayne Edward Johnson is 1841379187 and holds a License No. 01073977A (Indiana).

The current practice location address for Dwayne Edward Johnson is 236 Simpson Ave, Elkhart, IN and can be reached out via phone at 574-584-7373 and via fax at 574-293-3744.

Location: 236 Simpson Ave, Elkhart, IN, 46517-2191
person
Provider Profile Details
NPI Number
1841379187
Provider Name
Dwayne Edward Johnson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
236 Simpson Ave, Elkhart, IN, 46517-2191
Phone Number
574-584-7373
Fax Number
574-293-3744
Provider Enumeration Date
11/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
611336483 01 COMMONWEALTH HEALTH ALLIA
611336483 01 MAIL HANDLERS BENEFIT PLA
611336483 01 PPONEXT
642886669 05 KY
200287610B 05 IN
611336483 01 UNITED HEALTHCARE
2435769000 01 PASSPORT ADVANTAGE
611336483 01 HUMANA HEALTH PLAN, INC.
1087687 01 PASSPORT HEALTH PLAN
611336483 01 PREFERRED HEALTH PLAN
000000052119 01 ANTHEM
2133380 01 AETNA
611336483 01 4MOST HEALTH NETWORK
87043 01 FIRST HEALTH NETWORK
institution
Provider Business Practice Location Address Details
Address
236 Simpson Ave
City
State
Zip
46516-4666
Phone Number
574-584-7373
Fax Number
574-293-3744
person
Provider Business Mailing Address Details
Address
236 Simpson Ave
City
State
Zip
46516-4666
Phone Number
574-584-7373
Fax Number
574-293-3744
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
License No.
01073977A (Indiana)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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