| NPI | 1558572891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY D JOHNSON Practice Owner 906-776-1570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301042058) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2008-05-01 |