| Doctor Name: | NINA F JOHNSON |
| NPI Number: | 1063407237 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 01046939 |
| Business Practice Address: | 1440 E Sherman Blvd Muskegon, MI - 494441878 |
| Business Phone Number: | 2316722008 |
| Business Fax Number: | 2316722009 |
| Mailing Address: | Po Box 1847, MUSKEGON |
| State: | MI |
| Postal Code: | 494431847 |
| Phone Number: | 2317274444 |
| Fax Number: | 2316724451 |
| NPI Enumeration Date: | 09/14/2005 |
| NPI Last Update Date: | 08/16/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0001X |
| License Number: | 01046939 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Radiation Oncology |
| Taxonomy Definition: | A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |