Individual
DR. MICHELLE D JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
110 HOSPITAL RD STE 310, PRINCE FREDERICK, MD 20678-4041
(410) 414-4740
(410) 414-4741
Mailing address
110 HOSPITAL RD STE 310, PRINCE FREDERICK, MD 20678-4041
(410) 414-4740
(410) 414-4741
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D0051814
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3263171
AETNA US HEALTHCARE
—
01
—
352091
MAMSI UNITED HEALTH CARE
—
01
—
548502-06
BLUE SHIELD OF MARYLAND
—
01
—
6906-0005
BLUE SHIELD DC
—
05
—
759211601
—
MD
Enumeration date
03/09/2007
Last updated
10/09/2025
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