IndividualActive
David Johnson, PA
NPI 1053550350 · Physician Assistant · Millinocket, ME
Provider details
- NPI number
- 1053550350
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
Practice location
165 Poplar Street
Suite #1
Millinocket, ME 04462
Phone: (207) 723-2034
Fax: (207) 723-3006
Mailing address
200 Somerset Street
Millinocket, ME 04462
Registry dates
- Enumerated
- 2009-02-10
- Last updated
- 2013-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.