| Doctor Name: | DR. HELENE M JOHNSON |
| NPI Number: | 1215966528 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 4301030791 |
| Business Practice Address: | 42 N Saint Joseph Ave Suite 200 Niles, MI - 491202203 |
| Business Phone Number: | 2696870808 |
| Business Fax Number: | 2696870811 |
| Mailing Address: | 6416 Deans Hill Rd, BERRIEN CENTER |
| State: | MI |
| Postal Code: | 491029750 |
| Phone Number: | 2694717741 |
| Fax Number: | 2694711581 |
| NPI Enumeration Date: | 06/30/2006 |
| NPI Last Update Date: | 10/21/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 4301030791 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |