Individual
STEVEN PAUL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
910 E LINCOLN AVE, IONIA, MI 48846-1393
(616) 527-2370
(616) 527-3824
Mailing address
910 E LINCOLN AVE, IONIA, MI 48846-1393
(616) 527-2370
(616) 527-3824
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101008296
MI
207Q00000X
Family Medicine Physician
SJ008296
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003025
MCLAREN
MI
05
—
113081174
—
MI
01
—
200000002179
PHPMM
MI
01
—
3081174
MOLINA
MI
01
—
383218134
TRICARE
MI
01
—
700C460060
BCBS GROUP NUMBER
MI
Enumeration date
09/20/2006
Last updated
01/25/2016
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