Micheal B. Johnson
Medical Practice in Tipanuk, ID

License number
Idaho C7-3/31/00
Issued Date
Jun 18, 1999
Expiration Date
Mar 31, 2000
Category
Medical Practice
Type
ACGME Training
Address
Address 2
Tipanuk, ID 83647

Personal information

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Name
Address
Phone
Micheal Johnson
4519 Enterprise Way, Caldwell, ID 83605
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4557 W Blue Creek St, Meridian, ID 83642
(208) 895-0051
Micheal Johnson, age 64
323 S Harding St, Boise, ID 83705