Search › Oklahoma › 171M00000X
Michael Johnson, BS
NPI 1497282065 · on the registry since 2017
Practice
- Address
- 2109 S Highway 69
Wagoner, OK 74467 - Phone
- (918) 708-3006
- Organisation at this address
- Caldwell Medical Group, Pllc
Grand Lake Mental Health Center, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 26
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma