Philip E P Johnson

NPI #1619159290 in Sturgis, Michigan

Provider Information

NPI Number: 1619159290
Entity Type: Organization
Organization Name: Philip E P Johnson
Primary Specialty: Clinic/Center - Health Service
Enumeration Date: Dec 5, 2007
Last Updated: Dec 5, 2007

Practice Location

Address: 600 S LAKEVIEW ST
Address 2: SUITE 104
City: Sturgis
State: Michigan
ZIP Code: 49091-2371
Phone: (269) 659-4209

Authorized Official

Name: CATHIE MURRAY
Title: ADMINISTRATIVE DIRECTOR SMG
Phone: (269) 659-6537

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Health Service — Health Service	261QH0100X	Primary

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