Organization
PHILIP E P JOHNSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHIE MURRAY (ADMINISTRATIVE DIRECTOR SMG)
(269) 659-6537
Entity
Organization
Contact information
Practice address
600 S LAKEVIEW ST, SUITE 104, STURGIS, MI 49091-2371
(269) 659-4209
Mailing address
600 S LAKEVIEW ST, SUITE 104, STURGIS, MI 49091-2371
(269) 659-4209
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
12/05/2007
Last updated
12/05/2007
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