Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Michael Gunnar Johnson

Individual provider Physician Assistant · NPI 1366702193

Mr. Michael Gunnar Johnson is a Physician Assistant in Alpena, Michigan. Qualified in 2012, 14 years ago. Practices with Dlp Wilson Physician Practices LLC, a 37-clinician group and accepts Medicare assignment.

Years since qualifying
14
In the registry since
2012
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Practice location Address checks out

401 Long Rapids Plz
Alpena, MI 49707-1394
Phone: (989) 356-9333
Fax: (989) 356-0804
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1366702193
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 27, 2012
Last updated in NPPESAugust 9, 2023
Certification dateAugust 9, 2023
Mailing address1501 W Chisholm St, Alpena, MI 49707-1401

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Dlp Wilson Physician Practices Llc — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Alpena