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DR. JESSE CLARK JOHNSON, M.D.

Active

DR. JESSE CLARK JOHNSON, M.D. is a Diagnostic Radiology healthcare provider located in TRAVERSE CITY, Michigan. NPI 1033146212 is currently active in the NPPES registry. Verify at CMS.

Diagnostic Radiology · TRAVERSE CITY, MI

Registration Details

NPI Number
1033146212
Provider Type
Individual
Gender
Male
NPI Issued
Jun 26, 2006 (20.170828032875 yrs)
Last Updated
Apr 29, 2020
License
4301078527 (MI)

Practice Information

Address
1105 SIXTH ST
TRAVERSE CITY, MI, 496842345
Browse MI providers · Browse ZIP 49684
Phone
2319350497
Primary Specialty
Diagnostic Radiology
2085R0202X

Other Diagnostic Radiology Providers in TRAVERSE CITY, MI

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.