Individual
PATRICK JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 E MEDICAL CENTER DRIVE, SPC 5332, TAUBMAN CENTER, 2ND FLOOR, RECEPTION F, ANN ARBOR, MI 48109-5331
(734) 936-5738
(734) 936-6927
Mailing address
1500 E MEDICAL CENTER DRIVE, 2920 TAUBMAN CENTER, SPC 5331, ANN ARBOR, MI 48109-5331
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301509601
MI
390200000X
Student in an Organized Health Care Education/Training Program
4351046348
MI
Other
Enumeration date
08/13/2019
Last updated
12/28/2023
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