Brent M Johnson, PA

NPI #1093715013 in Ludington, Michigan

Provider Information

NPI Number
1093715013
Entity Type
Individual
Name
Brent M Johnson, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA
Enumeration Date
Aug 1, 2005
Last Updated
Aug 8, 2016

Practice Location

Address
5656 W US HIGHWAY 10
ZIP Code
49431-2454
Phone
(231) 843-2543

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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