Male or Other

Glenn T. Johnson M.D.

Orthopaedic Surgery Physician in Evansville, IN(View on Map)

Full Name

Glenn T. Johnson M.D.

NPI Number

1689672206

NPI Type

Individual Provider

Gender

Male

Enumeration Date

07/08/2005

Specialties

(Taxonomies)

Code

207X00000X
207XS0106X

Primary Taxonomy

Yes
No

Licenses

State

Indiana

License Number

1048654

Contact
Information

Purpose

Mailing
Location

Address

225 CROSSLAKE DR
225 CROSSLAKE DR

City

Evansville
Evansville

State

IN
IN

Postal Code

47715-8198
47715-8198

Country

US
US

Telephone Number

(812) 477-1558
(812) 477-1558

Identifiers

Identifier

200238020A

Identifier State

IN

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/23/2017

Provider Address

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