# DR. HELENE M JOHNSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1215966528
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 4301030791 | MI | Yes |

## Other

- **Enumeration date:** 06/30/2006
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 01-31142 | PHP | MI |
| 01 | — | 0101151112 | BLUE CROSS | MI |
| 01 | — | 1013408 | CIGNA | MI |