Douglas A Johnson, MD | |
230 W Oak St, Suite 201, Fremont, MI 49412-1575 | |
(231) 924-4200 | |
(231) 924-2001 |
Full Name | Douglas A Johnson |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 230 W Oak St, Fremont, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043262918 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 047515 (Michigan) | Primary |
Entity Name | Spectrum Health Primary Care Partners |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235188673 PECOS PAC ID: 4587568647 Enrollment ID: O20031121000091 |
Mailing Address | Practice Location Address |
---|---|
Douglas A Johnson, MD 100 Michigan St Ne, Mc 845, Grand Rapids, MI 49503-2560 Ph: () - | Douglas A Johnson, MD 230 W Oak St, Suite 201, Fremont, MI 49412-1575 Ph: (231) 924-4200 |
Aamir Patel, MD Surgery Medicare: Medicare Enrolled Practice Location: 230 W Oak St, Fremont, MI 49412 Phone: 231-924-4200 | |
Dr. Kegan Michael Rummel, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 230 W Oak St, Fremont, MI 49412 Phone: 231-924-4200 | |
Dr. Erich Stocks Schafer, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 230 W Oak St, Fremont, MI 49412 Phone: 231-924-4200 | |
Dr. Jeremy James Kuiper, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 230 W Oak St, Fremont, MI 49412 Phone: 231-924-4200 Fax: 616-267-9046 | |
Theodore J. Vanderkooi, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 230 W Oak St, Suite 201, Fremont, MI 49412 Phone: 231-924-4200 Fax: 616-267-9046 | |
Katherine E Shafer, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 230 W Oak St, Fremont, MI 49412 Phone: 231-924-4200 |