Individual provider · Type 1 NPI

Michael Thomas Johnson, MD

Diagnostic Radiology Physician · Grand Rapids, MI

NPI number 1811308588 Active

Practice location

3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746

Fax (616) 361-5828

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202X269258 (MA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Diagnostic Radiology Physician Primary 2085R0202X4301501433 (MI)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1811308588

Michael Thomas Johnson, MD's National Provider Identifier is 1811308588, issued on May 15, 2014. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Grand Rapids, MI. The record was last updated on Jun 29, 2020.