Michael E Johnson, BS

NPI #1497282065 in Wagoner, Oklahoma

Provider Information

NPI Number: 1497282065
Entity Type: Individual
Name: Michael E Johnson, BS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Credential: BS
Enumeration Date: May 15, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 2109 S HIGHWAY 69
City: Wagoner
State: Oklahoma
ZIP Code: 74467-9310
Phone: (918) 708-3006

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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