Johnson, Timothy M

Johnson, Timothy M is an individual health care provider with primary practice located at 1979 Huron Pkwy , Ann Arbor MI 48104-4141. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Johnson, Timothy M can be contacted via phone (734) 344-4567.

Contact Information

Primary practice address
1979 Huron Pkwy Ann Arbor MI 48104-4141
Phone: (734) 344-4567
Fax: (734) 669-1104
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 4301053410 Michigan
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 4301053410 Michigan
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 4301053410 Michigan

Profile Details

NPI number 1255428025
LBN Legal business name Johnson, Timothy M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Oct 12th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255428025 NPPES
Michigan MEDICAID 1927590

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