Individual
MICHAEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4256 FULTON DR NW APT A, CANTON, OH 44718-2879
(330) 754-6696
(330) 754-6825
Mailing address
4256 FULTON DR NW APT A, CANTON, OH 44718-2879
(330) 754-6696
(330) 754-6825
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35090478
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2801490
—
OH
Enumeration date
07/07/2006
Last updated
12/09/2025
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