Individual
DONALD A JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
518 E CHAPEL LN, MIDLAND, MI 48642-7030
(989) 859-3651
Mailing address
518 E CHAPEL LN, MIDLAND, MI 48642-7030
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9526330
—
MI
Enumeration date
04/03/2024
Last updated
04/03/2024
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