Individual
DR. BENJAMIN J JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15138 LEVAN RD, LIVONIA, MI 48154-5027
(734) 779-2133
Mailing address
31157 WOODWARD AVE, ROYAL OAK, MI 48073-0996
(248) 336-0123
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4301106414
MI
Other
Enumeration date
06/04/2012
Last updated
07/21/2022
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