Provider Demographics
NPI:1447375068
Name:JOHNSON, MICHAEL A (DVM)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:A
Last Name:JOHNSON
Suffix:
Gender:M
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 WINTHROP AVE
Mailing Address - Street 2:JOHNSON VETERINARY HOSPITAL, P.C.
Mailing Address - City:LAWRENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01843-3840
Mailing Address - Country:US
Mailing Address - Phone:978-794-0022
Mailing Address - Fax:978-794-4356
Practice Address - Street 1:160 WINTHROP AVE
Practice Address - Street 2:JOHNSON VETERINARY HOSPITAL, P.C.
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01843-3840
Practice Address - Country:US
Practice Address - Phone:978-794-0022
Practice Address - Fax:978-794-4356
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2498174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian