DR. Jesse Clark Johnson, M.D.
NPI #1033146212 in Traverse City, Michigan
Provider Information
- NPI Number
- 1033146212
- Entity Type
- Individual
- Name
- DR. Jesse Clark Johnson, M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Radiology - Diagnostic Radiology
- Credential
- M.D.
- Enumeration Date
- Jun 26, 2006
- Last Updated
- Apr 29, 2020
Practice Location
- Address
- 1105 SIXTH ST
- City
- Traverse City
- State
- Michigan
- ZIP Code
- 49684-2345
- Phone
- (231) 935-0497
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
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