| Doctor Name: | DR. TIMOTHY A JOHNSON |
| NPI Number: | 1407830813 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 4301056140 |
| Business Practice Address: | 15370 Levan Rd Ste 1 Livonia, MI - 481541903 |
| Business Phone Number: | 7344649055 |
| Business Fax Number: | 7344647522 |
| Mailing Address: | 15370 Levan Rd, Ste 1 LIVONIA |
| State: | MI |
| Postal Code: | 481541903 |
| Phone Number: | 7344649055 |
| Fax Number: | 7344647522 |
| NPI Enumeration Date: | 11/30/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207V00000X |
| License Number: | 4301056140 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |