Individual
DR. RANDALL M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
184 US HIGHWAY 41 E, NEGAUNEE, MI 49866-9606
(906) 315-2607
(906) 475-9312
Mailing address
184 US HIGHWAY 41 E, NEGAUNEE, MI 49866-9606
(906) 315-2607
(906) 475-9312
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
RJ040842
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0521038
BCC PROVIDER ID
MI
05
—
1862351
—
MI
05
—
2671990
—
MI
01
—
3903600261
BCBS OF MI PROVIDER ID
MI
05
—
5100662
—
MI
Enumeration date
10/26/2006
Last updated
07/09/2007
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