Individual
MICHAEL C. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-2256
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-2256
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
37074
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70048
WELLMARK BCBS
IA
Enumeration date
07/13/2007
Last updated
09/12/2007
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