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Individual

MR. JAMES EDWARD JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
37400 GARFIELD RD, SUITE 120, CLINTON TWP, MI 48036-3648
(586) 228-3800
(586) 228-9800
Mailing address
37400 GARFIELD RD, SUITE 120, CLINTON TWP, MI 48036-3648
(586) 228-3800
(586) 228-9800

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
007081
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2125953
MI
Enumeration date
07/13/2005
Last updated
07/09/2007
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