Individual
A. NEIL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3601 W 13 MILE RD, FSC, ROYAL OAK, MI 48073-6712
(248) 423-2454
(248) 423-2576
Mailing address
3601 W 13 MILE RD, FSC, ROYAL OAK, MI 48073-6712
(248) 423-2454
(248) 423-2576
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301036465
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3143885
—
MI
Enumeration date
06/11/2007
Last updated
07/08/2007
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