Individual
EMILY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
220 CHERRY ST SE, GRAND RAPIDS, MI 49503-4608
(616) 685-5050
(616) 685-8962
Mailing address
1900 44TH ST SE, KENTWOOD, MI 49508-5008
(616) 685-1808
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
4301108928
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2012
Last updated
08/15/2016
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