Mr Bradley Craig Johnson, PA-C | |
200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 | |
(616) 685-5907 | |
Not Available |
Full Name | Mr Bradley Craig Johnson |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Experience | 14 Years |
Location | 200 Jefferson Ave Se, Grand Rapids, Michigan |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134414246 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 5601006055 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Mary Medical Center Inc | Hobart, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Munster Radiology Group Pc | 1951299940 | 22 |
Mailing Address | Practice Location Address |
---|---|
Mr Bradley Craig Johnson, PA-C Po Box 186, Grand Rapids, MI 49501-0186 Ph: (616) 364-5228 | Mr Bradley Craig Johnson, PA-C 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 Ph: (616) 685-5907 |
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