Individual
DR. HOUSTON JOHNSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16250 NORTHLAND DR STE 207, SOUTHFIELD, MI 48075-5227
(313) 543-3100
(313) 543-3193
Mailing address
16250 NORTHLAND DR STE 207, SOUTHFIELD, MI 48075-5227
(313) 543-3100
(313) 543-3193
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301060937
MI
208600000X
Surgery Physician
Primary
35063487
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020019926
RAILROAD MEDICARE
—
05
—
0915246
—
OH
Enumeration date
07/08/2005
Last updated
01/29/2026
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