person
Mr. Nicholas David Johnson, PA
Medical Physician Assistant in Grand Rapids, Michigan
NPI 1427558477

Nicholas David Johnson is a Medical Physician Assistant based in Kentwood, MI and is specialized in Medical. Nicholas David Johnson practices in Grand Rapids, MI and has the professional credentials of PA. The NPI Number for Nicholas David Johnson is 1427558477 and holds a License No. 5601008568 (Michigan).

The current practice location address for Nicholas David Johnson is 200 Jefferson Ave Se, Grand Rapids, MI and can be reached out via phone at 616-685-5000.

Location: 200 Jefferson Ave Se, Grand Rapids, MI, 49508-5008
person
Provider Profile Details
NPI Number
1427558477
Provider Name
Nicholas David Johnson
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
200 Jefferson Ave Se, Grand Rapids, MI, 49508-5008
Phone Number
616-685-5000
Fax Number
Provider Enumeration Date
02/16/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
200 Jefferson Ave Se
City
State
Zip
49503-4502
Phone Number
616-685-5000
Fax Number
person
Provider Business Mailing Address Details
Address
200 Jefferson Ave Se
City
State
Zip
49503-4502
Phone Number
616-685-5000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
5601008568 (Michigan)
Definition
Definition to come...
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