| Johnson Medical Center, Pc | |
|
30550 Utica Rd Roseville MI 48066-1528 | |
| (586) 771-0290 | |
| (586) 771-5450 |
| Full Name | Johnson Medical Center, Pc |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 30550 Utica Rd, Roseville, Michigan |
| Authorized Official Name and Position | Bruce Gilbert Johnson (PRESIDENT) |
| Authorized Official Contact | 5867777604 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Johnson Medical Center, Pc 20963 Kelly Rd Eastpointe MI 48021-3128 Ph: (586) 777-7604 | Johnson Medical Center, Pc 30550 Utica Rd Roseville MI 48066-1528 Ph: (586) 771-0290 |
| NPI Number | 1184761801 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184761801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
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