Individual provider · Type 1 NPI
Kimberly Sue Johnson, MD
Diagnostic Radiology Physician · 49684 Traverse City, Mi (grand Traverse), MI
NPI number
1467682971
Active
Practice location
1105 Sixth Street, SUITE#100
49684 Traverse City, Mi (grand Traverse), MI 49684
Mailing address
PO Box 30516, DEPT#9516
Lansing, MI 48909-7919
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | 4301094869 (MI) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
5 other providers at this address
- Traverse Bay Radiation OncologistsRadiation Oncology Physician Traverse City, MI NPI 1356351506
- Ann S. Henning, R.PH.Pharmacist Traverse City, MI NPI 1750502951
- Barbara Sharon Fasulo-Emmott, LPC, CCS-MProfessional Counselor Traverse City, MI NPI 1487849667
- Leslie Joan Redmond, M.A., LMFTCounselor Traverse City, MI NPI 1932395647
- Stephanie Ann Macconnel, PA-CPhysician Assistant Traverse City, MI NPI 1407281496
About NPI 1467682971
Kimberly Sue Johnson, MD's National Provider Identifier is 1467682971, issued on Jul 17, 2009. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in 49684 Traverse City, Mi (grand Traverse), MI. The record was last updated on May 16, 2022.