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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRENT M JOHNSON, PA

Active

BRENT M JOHNSON, PA is a Physician Assistant healthcare provider located in LUDINGTON, Michigan. NPI 1093715013 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · LUDINGTON, MI

Registration Details

NPI Number
1093715013
Provider Type
Individual
Gender
Male
NPI Issued
Aug 1, 2005 (21.003559144677 yrs)
Last Updated
Aug 8, 2016
License
5601003020 (MI)

Practice Information

Address
5656 W US HIGHWAY 10
LUDINGTON, MI, 494312454
Browse MI providers · Browse ZIP 49431
Phone
2318432543
Fax
2318432547
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in LUDINGTON, MI

Name Credential NPI
SUSAN M BARNHARDT PAC 1598702540
SUSAN LYNN PERSSON PA C 1003996984
KODI M BONE PA-C 1184886012
MS. SCEONE MAREN KRAAI PA-C 1861642621
NICOLE MARIE TOMPKINS PA 1003213786
ALEXANDER JON WARNSHOLZ PA-C 1477091163
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.