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Individual

MR. GEORGE HOWARD JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
2310 E MICHIGAN AVE, LANSING, MI 48912-4018
(517) 346-7628
(517) 346-7629
Mailing address
2310 E MICHIGAN AVE, LANSING, MI 48912-4018
(517) 346-7628
(517) 346-7629

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MI

Other

Enumeration date
04/20/2010
Last updated
05/09/2013
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