Individual
DR. MICHAEL PATRICK JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
503 E THOMASON CIR, OPELIKA, AL 36801-5431
(334) 749-8234
(334) 749-9353
Mailing address
503 E THOMASON CIR, OPELIKA, AL 36801-5431
(334) 749-8234
(334) 749-9395
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
9637
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000053518
LEE PATHOLOGY
AL
Enumeration date
02/05/2007
Last updated
06/09/2010
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