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Individual
MICHAEL DAVID JOHNSON
Active
Individual
MICHAEL DAVID JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
32454
AL
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
32454
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0293209
L&I
WA
05
—
1275748428
—
WA
Enumeration date
05/11/2007
Last updated
02/01/2024
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