Organization
FARMINGTON HILLS INTERNAL MEDICINE PC
Active
Other names
FARMINGTON HILLS INTERNAL MEDICINE, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMOS CHARLES JOHNSON MD (PRESIDENT)
(248) 827-4322
Entity
Organization
Contact information
Practice address
29877 TELEGRAPH RD STE 300, SOUTHFIELD, MI 48034-7660
(248) 827-4322
(248) 827-7822
Mailing address
29877 TELEGRAPH RD STE 300, SOUTHFIELD, MI 48034-7660
(248) 827-4322
(248) 827-7822
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110634082
BCBSM PIN
MI
01
—
0110930751
BCBSM NEW INDIVIDUAL
MI
01
—
0F39878
BCBSM GROUP ID#
MI
05
—
104099772
—
MI
01
—
1801805270
INDIVIDUAL NPI
MI
01
—
1891957965
GROUP NPI
MI
Enumeration date
06/30/2008
Last updated
04/23/2025
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