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Individual
MICHAEL AUSTIN JOHNSON
Active
Individual
MICHAEL AUSTIN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
130811
CA
207P00000X
Emergency Medicine Physician
52351
CO
207P00000X
Emergency Medicine Physician
TL-3588
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023892
KAISER COMERCIAL NUMBER
CO
05
—
16426541
—
CO
Enumeration date
05/24/2010
Last updated
10/21/2021
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