Organization
BARRY D. JOHNSON MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY D JOHNSON MD (PRACTICE OWNER)
(906) 776-1570
Entity
Organization
Contact information
Practice address
1115 S HEMLOCK ST, SUITE 4, IRON MOUNTAIN, MI 49801-3800
(906) 776-1570
(906) 776-1575
Mailing address
1115 S HEMLOCK ST, SUITE 4, IRON MOUNTAIN, MI 49801-3800
(906) 776-1570
(906) 776-1575
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
4301042058
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3463356 10
—
MI
01
—
4301042058
BCBSM
MI
Enumeration date
05/25/2007
Last updated
05/01/2008
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