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Dr. Brian Ernest Johnson, MD
Hematology & Oncology Physician in Fort Wayne, Indiana
NPI 1952782021

Brian Ernest Johnson is a Hematology & Oncology Physician based in Fort Wayne, IN and is specialized in Hematology & Oncology. Brian Ernest Johnson practices in Fort Wayne, IN and has the professional credentials of MD. The NPI Number for Brian Ernest Johnson is 1952782021 and holds a License No. 036.145254 (Indiana).

The current practice location address for Brian Ernest Johnson is 11050 Parkview Circle Dr, Fort Wayne, IN and can be reached out via phone at 833-724-8326 and via fax at 260-425-6845.

Location: 11050 Parkview Circle Dr, Fort Wayne, IN, 46845-1701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952782021
Provider Name
Brian Ernest Johnson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
11050 Parkview Circle Dr, Fort Wayne, IN, 46845-1701
Phone Number
833-724-8326
Fax Number
260-425-6845
Provider Enumeration Date
06/15/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11050 Parkview Circle Dr
City
Fort Wayne
State
Indiana
Zip
46845-1739
Phone Number
833-724-8326
Fax Number
260-425-6845
person
Provider Business Mailing Address Details
Address
11050 Parkview Circle Dr
City
Fort Wayne
State
Indiana
Zip
46845-1739
Phone Number
833-724-8326
Fax Number
260-425-6845
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
11018429A (Indiana)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
036.145254 (Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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