Provider profile

Individual

Jesse Clark Johnson

Radiology in Traverse City, MI. NPI 1033146212, listed in the CMS NPI Registry since 06/26/2006. Bills Medicare.

NPI 1033146212Specialty RadiologyEnumerated 06/26/2006
See full profile

14 days free, no card

Registry and Medicare facts

Practice location
1105 Sixth St, Traverse City, MI 49684
CMS NPI Registry
Phone
(231) 935-0497
CMS NPI Registry
Specialty
Radiology
CMS NPI Registry
Subspecialty
Diagnostic Radiology
CMS NPI Registry
Enumeration date
06/26/2006
CMS NPI Registry
Bills Medicare
Yes
CMS Medicare 2024
Medicare patients
3,644 Part B
CMS Medicare 2024

In the full profile

Locked