Wallace R Johnson M.D.

NPI 1043253867 - Internal Medicine - 207R00000X

NPI Details
NPI 1043253867
Gender Male
Enumeration Date 06/13/2006
Last Updated 09/25/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
22 S GREENE ST
BALTIMORE MD, 21201-1544, US
Phone (410) 328-4366
Fax (410) 328-5745
Business Location
PO BOX 64442
BALTIMORE MD, 21264-4442, US
Phone (410) 328-4366
Fax (410) 328-5745
Toxanomy
Taxonomy Code 207R00000X
License State Maryland
License Number D38086
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According to our database, Dr. Wallace R Johnson M.D. NPI is 1043253867, taxonomy code is 207R00000X and license number is D38086, license state is located at Maryland. Wallace R Johnson M.D. physically located at 22 S Greene St, Baltimore MD, 21201-1544. NPI Number Wallace R Johnson M.D. has the Individual type.

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1043253867 NPI number is provided on an as is basis without warranty of any kind. 1043253867 is maintained by the National Plan & Provider Enumeration System. The contents of Wallace R Johnson M.D. are for informational purposes only.