Dr. Frederick A Johansen --
MD | Pediatrics | Male
Dr. Frederick A Johansen --, MD is a Stevensville, Michigan based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Frederick A Johansen -- is
5515 Cleveland Ave, Suite 1, Stevensville, Michigan - 49127-9670. He can be contacted on phone at
269-429-6604 and fax number 269-429-1715.
Dr. Frederick A Johansen -- is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Frederick A Johansen -- is
1497784706 which was assigned by NPPES on 30 Jun, 2006 and it was last updated on 07 Mar, 2023.
Dr. Frederick A Johansen -- license number is
4301038022 for Pediatrics (208000000X) in Michigan.
Dr. Frederick A Johansen -- is a pediatrician who 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 chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Frederick A Johansen -- basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Dr. Frederick A Johansen -- |
|---|
| Credential : | MD |
|---|
| Gender : | Male |
|---|
Business Address:
Dr. Frederick A Johansen -- address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 5515 Cleveland Ave, Suite 1
Stevensville, MI, 49127-9670
United States |
|---|
| Phone Number : | 269-429-6604 |
|---|
| Fax Number : | 269-429-1715 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1497784706 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 30 Jun, 2006 |
|---|
| Last Updated On : | 07 Mar, 2023 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Frederick A Johansen -- are as mentioned. Primary taxonomy code for Dr. Frederick A Johansen --, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 4301038022 | MI |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Frederick A Johansen -- such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1013407 | Other (non-Medicare) | MI | Cigna |
| 12-31141 | Other (non-Medicare) | MI | PHP |
| 2893915 | MEDICAID | MI | |
| 3501103141 | Other (non-Medicare) | MI | Blue Cross |
| 370004513 | Other (non-Medicare) | MI | RAILROAD MEDICARE |
| B48474 | MEDICARE UPIN | | |
| M35350019 | MEDICARE ID-Type Unspecified | | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 5515 Cleveland Ave, Suite 1
Stevensville, MI, 49127-9670
United States |
|---|
| Phone Number : | 269-429-6604 |
|---|
| Fax Number : | 269-429-1715 |
|---|
Business Location:
Patients can refer following map for directions to
Dr. Frederick A Johansen -- practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.