Individual provider · Type 1 NPI
Michael Shane Johnson, MD
General Practice Physician · Oklahoma City, OK
NPI number
1770877151
Active
Practice location
13600 Prairie View Ln
Oklahoma City, OK 73142-5917
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 30380 (OK) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Another provider at this address
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About NPI 1770877151
Michael Shane Johnson, MD's National Provider Identifier is 1770877151, issued on Jun 3, 2011. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Oklahoma City, OK. The record was last updated on Apr 1, 2014.