Individual
GREG MICHAEL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
142 E MAUMEE ST, ADRIAN, MI 49221-2735
(517) 263-5810
Mailing address
12024 E PLEASANT LAKE RD, MANCHESTER, MI 48158-8503
(734) 474-1542
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301012855
MI
Other
Enumeration date
02/17/2012
Last updated
02/17/2012
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