Dr MICHAEL ERNEST JOHNSON is a male medical professional, specializing in Internal Medicine. He graduated in 2004 from Meharry Medical College School Of Medicine.
SOUTHEASTERN PHYSICIAN SERVICES PC
1441 CHARIC DR
BALLWIN
MO
630212001
Tel: 6363942522
| Npi | 1154524742 |
| Pac Id | 0042378630 |
| Professional Enrollment Id | I20081027000327 |
| Last Name | JOHNSON |
| First Name | MICHAEL |
| Middle Name | ERNEST |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialty 1 | |
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| Organization Legal Name | SOUTHEASTERN PHYSICIAN SERVICES PC |
| Group Practice Pac Id | 0042307852 |
| Number Of Group Practice Members | 258 |
| Line 1 Street Address | 1441 CHARIC DR |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | BALLWIN |
| State | MO |
| Zip Code | 630212001 |
| Phone Number | 6363942522 |
| Hospital Affiliation Ccn 1 | 260191 |
| Hospital Affiliation Lbn 1 | BARNES-JEWISH ST PETERS HOSPITAL |
| Hospital Affiliation Ccn 2 | 260032 |
| Hospital Affiliation Lbn 2 | BARNES JEWISH HOSPITAL |
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| Hospital Affiliation Lbn 3 | |
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| Professional Accepts Medicare Assignment | Y |
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