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
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 5601006233 (MI) |
Surgical Physician Assistant: Definition to come...
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Other surgical physician assistant providers in Petoskey
- James P. Prokos, PACSurgical Physician Assistant Petoskey, MI NPI 1093740961
- Kathy Tuinhoff, PA-CSurgical Physician Assistant Petoskey, MI NPI 1144292699
- Kelli Marie Brower, PA-CSurgical Physician Assistant Petoskey, MI NPI 1912251786
- Peter Valentine Hartmann, PA-CSurgical Physician Assistant Petoskey, MI NPI 1942510896
- Alisha Marie Cole, PASurgical Physician Assistant Petoskey, MI NPI 1952691768
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.