Organization
IMPACT HEALTH: INTEGRATIVE MEDICINE AND PREVENTIVE CARDIOLOGY
Active
Organization
IMPACT HEALTH: INTEGRATIVE MEDICINE AND PREVENTIVE CARDIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID BRYAN JOHNSON M.D. (PRESIDENT)
(616) 403-7509
Entity
Organization
Contact information
Practice address
29 W 8TH ST, SUITE 240, HOLLAND, MI 49423-3185
(616) 403-7509
Mailing address
29 W 8TH ST, SUITE 240, HOLLAND, MI 49423-3185
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301075369
MI
Other
Enumeration date
11/19/2012
Last updated
11/19/2012
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