LEWIS JEREMY JOHNSON DO
Individual Provider (NPI-1)
Active
Urology
Provider Information
- NPI Number
1295979474- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DO
- Status
- Active
Contact & Location
- Address
- 601 JOHN ST STE M-318, KALAMAZOO, MI, 490075383
- Phone
- (269) 349-9745
- Fax
- (269) 488-8305
Specialties & Taxonomies
Urology
License: MI #5101017835
Urology
License: KY #3622
Urology
Primary License: IN #02006859A