Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Frederick A Johansen, MD

Individual provider Pediatrics Physician · NPI 1497784706

Dr. Frederick A Johansen, MD is a Pediatrics Physician in Stevensville, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

5515 Cleveland Ave Ste 1
Stevensville, MI 49127-9670
Phone: (269) 429-6604
Fax: (269) 429-1715
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 4301038022 (MI)

Record details

NPI number1497784706
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 30, 2006
Last updated in NPPESMarch 7, 2023
Mailing address5515 Cleveland Ave, Suite 1, Stevensville, MI 49127-9670

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