Organization
JOHNSON DIALYSIS MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHYRLWTTA JOHNSON (CEO)
(313) 447-4432
Entity
Organization
Contact information
Practice address
21700 GREENFIELD RD, STE 215, OAK PARK, MI 48237-2581
(313) 477-4432
Mailing address
21700 GREENFIELD RD, OAK PARK, MI 48237-2581
(313) 477-4432
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
03/25/2017
Last updated
03/25/2017
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