Individual
DR. HELENE M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
42 N SAINT JOSEPH AVE, SUITE 200, NILES, MI 49120-2203
(269) 687-0808
(269) 687-0811
Mailing address
6416 DEANS HILL RD, BERRIEN CENTER, MI 49102-9750
(269) 471-7741
(269) 471-1581
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4301030791
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-31142
PHP
MI
01
—
0101151112
BLUE CROSS
MI
01
—
1013408
CIGNA
MI
Enumeration date
06/30/2006
Last updated
03/07/2023
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