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Search › Michigan › 363A00000X

Beau Johnson, PA

NPI 1699514505 · on the registry since 2024

Practice

Address
1105 Sixth St
Traverse City, MI 49684
Phone
(231) 935-5000
Organisation at this address
Munson Medical Group
Munson Medical Group
Munson Medical Center
Munson Medical Center
Munson Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
264

Additional practice sites

  • 1221 Sixth St Ste 300, Traverse City, MI

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-06-03

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 Michigan