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Individual
MICHAEL RYAN JOHNSON
Active
Individual
MICHAEL RYAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
00460
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K212370
MEDICARE PTAN
KY
Enumeration date
03/28/2013
Last updated
12/04/2020
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