| Barry D. Johnson Md Pc | |
|
1115 S Hemlock St Suite 4 Iron Mountain MI 49801-3800 | |
| (906) 776-1570 | |
| (906) 776-1575 |
| Full Name | Barry D. Johnson Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1115 S Hemlock St, Iron Mountain, Michigan |
| Authorized Official Name and Position | Barry D Johnson (PRACTICE OWNER) |
| Authorized Official Contact | 9067761570 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Barry D. Johnson Md Pc 1115 S Hemlock St Suite 4 Iron Mountain MI 49801-3800 Ph: (906) 776-1570 | Barry D. Johnson Md Pc 1115 S Hemlock St Suite 4 Iron Mountain MI 49801-3800 Ph: (906) 776-1570 |
| NPI Number | 1558572891 |
|---|---|
| Provider Enumeration Date | 05/25/2007 |
| Last Update Date | 05/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558572891 | NPI | - | NPPES |
| 3463356 10 | Medicaid | MI | |
| 4301042058 | Other | MI | BCBSM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 4301042058 (Michigan) | Primary |
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