Robert G Johannesen MD

NPI 1659489227 - Family Medicine - 207Q00000X

NPI Details
NPI 1659489227
Gender Male
Enumeration Date 08/25/2006
Last Updated 02/27/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
1000 4TH ST SW
MERCY FAMILY MEDICINE RESIDENCY
MASON CITY IA, 50401-2800, US
Phone (641) 428-7766
Fax (641) 428-8049
Business Location
621 S ILLINOIS AVE
SUITE 103
MASON CITY IA, 50401-5489, US
Phone (641) 494-3041
Fax (641) 494-3059
Toxanomy
Taxonomy Code 207Q00000X
License State Iowa
License Number 21463
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According to our database, Robert G Johannesen MD NPI is 1659489227, taxonomy code is 207Q00000X and license number is 21463, license state is located at Iowa. Robert G Johannesen MD physically located at 1000 4th St Sw, Mason City IA, 50401-2800. NPI Number Robert G Johannesen MD has the Individual type.

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1659489227 NPI number is provided on an as is basis without warranty of any kind. 1659489227 is maintained by the National Plan & Provider Enumeration System. The contents of Robert G Johannesen MD are for informational purposes only.