Individual
DR. MICHAEL LEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
990 SYLVAN WAY, BREMERTON, WA 98310-2851
(360) 479-3657
(360) 373-7616
Mailing address
990 SYLVAN WAY, BREMERTON, WA 98310-2851
(360) 479-3657
(360) 373-7616
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00023534
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016487001
GROUP HEALTH CORP
WA
01
—
050039619
RAILROAD MEDICARE
WA
05
—
1015023
—
WA
01
—
46013
VICTIMS OF CRIME
WA
01
—
910847215
PREMERA BLUE CROSS
WA
01
—
91084721504
KPS
WA
01
—
JO3238
REGENCE BLUE SHIELD
WA
Enumeration date
07/14/2005
Last updated
01/21/2009
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