Michael W Johnson, MD, PC
Organization Active NPI Surgery Physician · Saint Ignace, MI
NPI 1992887202 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1992887202
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgery Physician 208600000X
- License
- 4301054807 (MI)
- Legal business name
- MICHAEL W JOHNSON, MD, PC
- Practice address
- 220 Burdette St
Saint Ignace, MI 49781-1712 - Phone
- (906) 643-0466
- NPI assigned
- Oct 19, 2006
- Organization subpart
- No
Authorized official
- Name
- Tina Bays
- Title
- Office Manager
- Phone
- (231) 487-1000
National Provider Directory
Locations
101 W Mitchell St
Petoskey, MI 49770
Phone (231) 487-1000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician |
208600000X | 4301054807 | MI | Yes |
Addresses
Primary practice location
220 Burdette St
Saint Ignace, MI 49781-1712
Mailing address
101 W Mitchell St
Petoskey, MI 49770-2323
Phone (231) 487-1000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4301054807 | Other | MI | STATE LICENSE |
| 21407 | Other | MI | MOLINA |
| 0202410071 | Other | MI | BCBSM PROVIDER ID# |
Other providers in Saint Ignace, MI
- Dorene Lois Mathews
- James John Mattson
- Stefanie Mattson
- Karli May Maurer
- Mark W Mercer
- Krystal Lorraine Mittelsteadt
- Kathryn E Mizzi
- Moses Dialysis Unit
- Deborah Narrin
- Joseph Marvyn Neri
All providers in Saint Ignace, MI · Surgery Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.