Organization
GARY P JOHNSON PC
Active
Other names
Johnson Chiropractic Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY P JOHNSON DC (PRESIDENT)
(586) 254-2995
Entity
Organization
Contact information
Practice address
47197 VAN DYKE AVE, SHELBY TOWNSHIP, MI 48317-3359
(586) 254-2995
(586) 254-4572
Mailing address
47197 VAN DYKE AVE, SHELBY TOWNSHIP, MI 48317-3359
(586) 254-2995
(586) 254-4572
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
GJ005252
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950E050970
BCBSM
MI
Enumeration date
01/28/2010
Last updated
01/28/2010
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