Individual
TIMOTHY M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1979 HURON PKWY, ANN ARBOR, MI 48104-4141
(734) 344-4567
(734) 669-1104
Mailing address
1979 HURON PKWY, ANN ARBOR, MI 48104-4141
(734) 344-4567
(734) 669-1104
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
4301053410
MI
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
4301053410
MI
207NS0135X
Procedural Dermatology Physician
4301053410
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1927590
—
MI
Enumeration date
10/05/2006
Last updated
10/12/2020
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