Individual
CHAZ JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 OAKLAND DR, KALAMAZOO, MI 49008-1282
(269) 337-6019
Mailing address
PO BOX 22040, GREEN BAY, WI 54305-2040
(920) 445-7222
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
4301110587
MI
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
70561
WI
Other
Enumeration date
06/17/2016
Last updated
07/06/2021
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