Individual provider · Type 1 NPI

Breena Marie Johnson, PA-C

Surgical Physician Assistant · Petoskey, MI

NPI number 1982908075 Active

Practice location

416 Connable Ave
Petoskey, MI 49770-2212

Mailing address

790 Red Oak Way
Petoskey, MI 49770-2979

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X5601006233 (MI)

Surgical Physician Assistant: Definition to come...

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About NPI 1982908075

Breena Marie Johnson, PA-C's National Provider Identifier is 1982908075, issued on Jan 4, 2011. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Petoskey, MI. The record was last updated on Jan 10, 2014.