Individual
DR. DANIEL JAMES JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1815 HENSON AVE, KALAMAZOO, MI 49048-1510
(269) 492-6500
Mailing address
1815 HENSON AVE, KALAMAZOO, MI 49048-1510
(269) 492-6500
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
4301079996
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235337726
—
MI
01
—
1417961137
BCBSM - BMH
MI
Enumeration date
07/05/2007
Last updated
06/26/2024
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