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Individual

JOHN DAVID JOHNSON

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
3401 E SAGINAW ST, SUITE 111, LANSING, MI 48912-4775
(517) 351-7640
(517) 351-9462
Mailing address
3401 E SAGINAW ST, SUITE 111, LANSING, MI 48912-4775
(517) 351-7640
(517) 351-9462

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901001391
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4135734
MI
Enumeration date
08/23/2005
Last updated
07/08/2007
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