NPI 1609812718

Mark Christian Johannsen, MD

Practitioner Diagnostic Radiology Physician Fremont, NE

Practice location

Address: 450 E 23rd St, Fremont, NE 68025
Phone: (402) 721-3070
Fax: (402) 727-3513
Mailing address: 415 East 23rd St STE 210, Fremont, NE 68025-2343

Registered specialties

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 19406 (NE)

Other Radiology providers in Nebraska →

Registry record

NPI: 1609812718
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Jun 2006
Record last updated: 8 Jul 2007

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.