Individual
DR. MICHAEL KEITH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2616 JORDAN LN NW, HUNTSVILLE, AL 35816-1014
(256) 851-8433
(256) 851-6080
Mailing address
2616 JORDAN LN NW, HUNTSVILLE, AL 35816-1014
(256) 851-8433
(256) 851-6080
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20179
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009943525
—
AL
Enumeration date
05/14/2006
Last updated
01/04/2023
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