Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACOB DANIEL JOHNSON, DO
Active Sole ProprietorDR. JACOB DANIEL JOHNSON, DO is a Vascular Surgery healthcare provider located in TAYLOR, Michigan. NPI 1962760124 is currently active in the NPPES registry. Verify at CMS.
Vascular Surgery · TAYLOR, MI
Registration Details
- NPI Number
- 1962760124
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 25, 2012 (14.342462395907 yrs)
- Last Updated
- Nov 21, 2015
- Licenses
-
5101020933 (MI)5101020933 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
15411 PARK VILLAGE BLVDTAYLOR, MI, 481804886Browse MI providers · Browse ZIP 48180
- Phone
- 6467141984
- Primary Specialty
-
Vascular Surgery
2086S0129X
- Additional Specialty
- General Surgery
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.