Individual
DR. MICHAEL WAYNE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
7100 E 151ST ST S, BIXBY, OK 74008-4137
(918) 691-7275
(918) 366-4460
Mailing address
7100 E 151ST ST S, BIXBY, OK 74008-4137
(918) 691-7275
(918) 366-4460
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4096
OK
Other
Enumeration date
01/03/2013
Last updated
01/03/2013
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