Individual
JULIE K JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1105 6TH ST, TRAVERSE CITY, MI 49684-2349
(231) 947-0673
(801) 740-2847
Mailing address
4624 N SPIDER LAKE RD, TRAVERSE CITY, MI 49696-8440
(231) 947-0673
(801) 740-2847
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
5101011139
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3064262
—
MI
01
—
930018880
RAILROAD MEDICARE
MI
01
—
JJ011139
BLUE CROSS BLUE SHIELD
MI
Enumeration date
06/21/2005
Last updated
01/07/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us