Individual
GREGORY WILLIAM JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
325 E H ST, IRON MOUNTAIN, MI 49801-4760
(906) 774-3300
Mailing address
325 E H ST, IRON MOUNTAIN, MI 49801-4760
(906) 774-3300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
32895-020
WI
207Q00000X
Family Medicine Physician
Primary
45560
TN
Other
Enumeration date
10/12/2005
Last updated
01/09/2019
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