Frederick A Johansen in Stevensville - Pediatrics
Frederick A Johansen - NPI 1497784706
Frederick A Johansen is a Pediatrics in Stevensville, Michigan. Frederick A Johansen practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Frederick A Johansen is 1497784706. The last update date is 2023-03-07.
Frederick A Johansen's current location address is 5515 Cleveland Ave, Stevensville, Michigan. You can contact this provider via phone number 2694296604 and fax number 2694291715. The mailing address for Frederick A Johansen is 5515 Cleveland Ave, Stevensville, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Frederick A Johansen |
|---|---|
| Address | 5515 Cleveland Ave, Stevensville, Michigan |
| Phone Number | 2694296604 |
| Fax Number | 2694291715 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1497784706 |
|---|---|
| Provider Enumeration Date | 2006-06-30 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 5515 Cleveland Ave |
|---|---|
| City | Stevensville |
| State | Michigan (MI) |
| Post Code | 491279670 |
| Phone Number | 2694296604 |
| Fax Number | 2694291715 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 4301038022 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1013407 | MI | CIGNA | |
| 3501103141 | MI | BLUE CROSS | |
| 370004513 | MI | RAILROAD MEDICARE | |
| 12-31141 | MI | PHP | |
| 2893915 | MI | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Frederick A Johansen by the Centers for Medicare & Medicaid Services?
The Frederick A Johansen has been issued the NPI (National Provider Identifier) 1497784706. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Frederick A Johansen?
The Frederick A Johansen is situated at 5515 Cleveland Ave, in the city of Stevensville, state of MI, with the zip code 491279670.
What is Frederick A Johansen's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Frederick A Johansen is Pediatrics, and the taxonomy code that classifies this field of practice is 208000000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1497784706 to Frederick A Johansen?
The Centers for Medicare & Medicaid Services originally issued the 1497784706 to Frederick A Johansen on 2006-06-30.
When was the Frederick A Johansen's information last updated?
The Frederick A Johansen's information was last updated on 2023-03-07.