NPI 1316005960

John Russell Johansson, DO

Practitioner 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) 878-9961

Registered specialties

Sports Medicine (Neuromusculoskeletal Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 204C00000X Licence VT 0000304 (VT)

Other Neuromusculoskeletal Medicine, Sports Medicine providers in Vermont →

Registry record

NPI: 1316005960
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Dec 2006
Record last updated: 18 Apr 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.