Individual
DR. MICHAEL HIROSHI JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3015 N BALLAS RD, DIV SURG UROLOGY, SAINT LOUIS, MO 63131-2329
(314) 362-8200
(314) 454-5244
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 362-8200
(314) 454-5244
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
2022027490
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200111647
—
MO
Enumeration date
06/19/2009
Last updated
04/17/2025
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