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Dr. Olaf B Johansen, MD
Colon & Rectal Surgery Physician in Mooresville, Indiana
NPI 1942202015

Olaf B Johansen is a Colon & Rectal Surgery Physician based in Mooresville, IN. Olaf B Johansen practices in Mooresville, IN and has the professional credentials of MD. The NPI Number for Olaf B Johansen is 1942202015 and holds a License No. 01040001A (Indiana).

The current practice location address for Olaf B Johansen is 1215 Hadley Rd, Mooresville, IN and can be reached out via phone at 317-834-2020 and via fax at 317-831-9292.

Location: 1215 Hadley Rd, Mooresville, IN, 46158-2905
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942202015
Provider Name
Olaf B Johansen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1215 Hadley Rd, Mooresville, IN, 46158-2905
Phone Number
317-834-2020
Fax Number
317-831-9292
Provider Enumeration Date
06/02/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200008930A 05 IN
000000091932 01 IN ANTHEM
institution
Provider Business Practice Location Address Details
Address
1215 Hadley Rd
City
Mooresville
State
Indiana
Zip
46158-2905
Phone Number
317-834-2020
Fax Number
317-831-9292
person
Provider Business Mailing Address Details
Address
1215 Hadley Rd
City
Mooresville
State
Indiana
Zip
46158-2905
Phone Number
317-834-2020
Fax Number
317-831-9292
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
01040001A (Indiana)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Colon & Rectal Surgery
Speciality
-
Taxonomy
208C00000X
License No.
01040001A (Indiana)
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
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