Upper Great Lakes Vascular, P.C

LBN: Joel A Johnson, M.D., P.C.
Upper Great Lakes Vascular, P.C is an health care organization with primary practice located at 1414 W Fair Ave Ste 215, Marquette MI 49855-2675. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as the primary health care specialty. Joel A Johnson, M.D., P.C. can be contacted via phone (906) 225-7701, or through Johnson, Joel A via phone (906) 225-7701.

Contact Information

Primary practice address
1414 W Fair Ave Ste 215 Marquette MI 49855-2675
Phone: (906) 225-7701
Fax: (906) 225-7705
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Joel A Doctor of Medicine (MD)
Phone: (906) 225-7701

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 4301057398 Michigan

Profile Details

NPI number 1366425852
LBN Legal business name Joel A Johnson, M.D., P.C.
DBA Doing business as Upper Great Lakes Vascular, P.C
Authorized official Johnson, Joel A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2005
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366425852 NPPES
Michigan Other 330E21025 BLUE CROSS BLUE SHIELD MI

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