NPI 1518106491

Champlain Sports Medicine PC

Organisation Sports Medicine (Neuromusculoskeletal Medicine) Physician Essex Junction, VT

Practice location

Address: 67 Lincoln St, Essex Junction, VT 05452-3235
Phone: (802) 878-1003
Fax: (802) 878-9966

Authorised official

Name: John Russell Johansson
Title: Owner/Physician
Phone: (802) 878-1003

Registered specialties (2)

Sports Medicine (Neuromusculoskeletal Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 204C00000X Licence 0320000304 (VT)

Other Neuromusculoskeletal Medicine, Sports Medicine providers in Vermont →

Sports Medicine (Neuromusculoskeletal Medicine) Physician

Allopathic & Osteopathic Physicians Taxonomy 204C00000X

Registry record

NPI: 1518106491
Entity type: Organization
NPI issued: 17 Feb 2009
Record last updated: 13 Jun 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.