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Organization
JOHNSONS DIALYSIS MANAGEMENT LLC
Active
Organization
JOHNSONS DIALYSIS MANAGEMENT LLC
Active
Other names
Bingham Care PT
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WATSENE JOHNSON (OWNER)
(313) 659-3315
Entity
Organization
Contact information
Practice address
17721 FENKELL ST, SUITE 111, DETROIT, MI 48227-1513
(313) 659-3315
Mailing address
17721 FENKELL ST, SUITE 111, DETROIT, MI 48227-1513
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
05/03/2012
Last updated
05/03/2012
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