NPI 1700246188

Tara Johnson

Practitioner Medical Technologist Sandusky, MI

Practice location

Address: 227 E Sanilac Rd, Sandusky, MI 48471-1160
Phone: (810) 648-0330
Mailing address: 6590 Storey Dr, Marlette, MI 48453-1261

Registered specialties

Medical Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246QM0706X

Other Specialist/Technologist, Pathology providers in Michigan →

Registry record

NPI: 1700246188
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Feb 2016
Record last updated: 29 Feb 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.