Individual
DR. KIMBERLY SUE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1105 SIXTH STREET, SUITE#100, 49684 TRAVERSE CITY, MI (GRAND TRAVERSE), MI 49684
(231) 935-5000
Mailing address
PO BOX 30516, DEPT#9516, LANSING, MI 48909-7919
(231) 935-0497
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301094869
MI
Other
Enumeration date
07/17/2009
Last updated
05/16/2022
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