# CHARLES M JOHNSON PODIATRIST PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902955560
- **Authorized official:** DR. CHARLES M. JOHNSON DPM (DIRECTOR/OWNER)
- **Authorized official phone:** (313) 862-5800

## Contact information

- **Practice address:** 10244 W 7 MILE RD, DETROIT, MI 48221-1904
- **Practice address phone:** (313) 862-5800
- **Practice address fax:** (313) 862-2865
- **Mailing address:** 10244 W 7 MILE RD, DETROIT, MI 48221-1904
- **Mailing address phone:** (313) 862-5800
- **Mailing address fax:** (313) 862-2865

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | CJ001211 | MI | Yes |

## Other

- **Enumeration date:** 01/10/2007
- **Last updated:** 05/13/2015