JESSE CLARK JOHNSON

TRAVERSE CITY, MI
NPI1033146212
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology Diagnostic Radiology
(Licence: MI  4301078527)
Enumeration Date2006-06-26
Last Update Date2020-04-29
Business Address
DR. JESSE CLARK JOHNSON M.D.
1105 SIXTH ST
TRAVERSE CITY, MI 49684-2345
Phone number: 231-935-0497
Mailing Address
DR. JESSE CLARK JOHNSON M.D.
PO BOX 30516 DEPT. 9516
LANSING, MI 48909
Phone number: 231-935-0497
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