Individual
DR. DAVID K JOHNSON
Active
Individual
DR. DAVID K JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
DJ036689
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000638
MCLAREN
—
05
—
101312174
—
MI
01
—
200000002171
PHYSICIAN HEALTH PLAN
—
01
—
340009577
RAILROAD MEDICARE
—
01
—
340C376010
BLUE CROSS BLUE SHIELD
—
01
—
4496865
AETNA
—
01
—
DR330319
MCARE
—
Enumeration date
10/04/2006
Last updated
01/14/2014
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