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JOHNSON MEDICAL CENTER PC NPI 1184761801


NPI Information

NPI: 1184761801
Provider Name: JOHNSON MEDICAL CENTER, PC
Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
30550 UTICA RD
ROSEVILLE, MI
ZIP 48066
Phone: (586) 771-0290
Get Directions

JOHNSON MEDICAL CENTER, PC is a geriatric medicine internal medicine in Roseville, MI. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. JOHNSON MEDICAL CENTER, PC NPI is 1184761801. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

30550 UTICA RD
ROSEVILLE, MI
ZIP 48066-528
Phone: (586) 771-0290
Fax: (586) 771-5450

The provider's authorized official is Bruce Gilbert Johnson .
The authorized official title is President and has the following contact phone number (586) 777-7604.

The enumeration date for this NPI number is 1/31/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0300XInternal MedicineGeriatric MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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