Individual
PIERRE MICHAEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEMORIAL DR, SUITE 300, DECATUR, IL 62526-6303
(217) 872-2400
(217) 875-4680
Mailing address
926 MAIN ST APT 209, PEORIA, IL 61602-1039
(773) 354-1659
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
036-132597
IL
Other
Enumeration date
06/11/2008
Last updated
08/09/2013
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