DR. Jacob Daniel Johnson, DO

NPI #1962760124 in Taylor, Michigan

Provider Information

NPI Number: 1962760124
Entity Type: Individual
Name: DR. Jacob Daniel Johnson, DO
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Surgery - Vascular Surgery
Credential: DO
Enumeration Date: Apr 25, 2012
Last Updated: Nov 21, 2015

Practice Location

Address: 15411 PARK VILLAGE BLVD
City: Taylor
State: Michigan
ZIP Code: 48180-4886
Phone: (646) 714-1984

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery - Vascular Surgery — Vascular Surgery	2086S0129X	Primary
Surgery	208600000X

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