Individual provider · Type 1 NPI
Michael D. Johnson, PA
Medical Physician Assistant · Newberry, MI
NPI number
1417024969
Active
Practice location
502 W Harrie St
Newberry, MI 49868-1209
Fax (906) 293-9285
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 5601002886 (MI) |
Medical Physician Assistant: Definition to come...
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About NPI 1417024969
Michael D. Johnson, PA's National Provider Identifier is 1417024969, issued on Nov 29, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Newberry, MI. The record was last updated on Jun 24, 2009.