Organization
D R JOHNSON, DO, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAWN RENE JOHNSON D.O. (SOLE PROPRIETOR)
(989) 249-6960
Entity
Organization
Contact information
Practice address
1430 N CENTER RD, SAGINAW, MI 48638-5581
(989) 249-6960
Mailing address
1430 N CENTER RD, SAGINAW, MI 48638-5581
(989) 249-6960
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101013861
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1437227436
PERSONAL NPI
—
Enumeration date
03/30/2007
Last updated
07/10/2007
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