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Organization

KEITH A. JOHNSTONE M.D., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEITH A JOHNSTONE MD (OWNER)
(248) 355-4545
Entity
Organization

Contact information

Practice address
26206 W 12 MILE RD, 201, SOUTHFIELD, MI 48034-1754
(248) 355-4545
(248) 355-3855
Mailing address
26206 W 12 MILE RD, 201, SOUTHFIELD, MI 48034-1754
(248) 355-4545
(248) 355-3855

Taxonomy

Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
4301048096
MI
282N00000X
General Acute Care Hospital
4301048096
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3500119/10
MI
Enumeration date
08/31/2006
Last updated
04/16/2014
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