Organization
JOHNSON PODIATRY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN JOHNSON D DPM (PHYSICIAN)
(517) 351-7640
Entity
Organization
Contact information
Practice address
1500 WATERTOWER PL, STE 300, EAST LANSING, MI 48823-8048
(517) 351-7640
(517) 351-9462
Mailing address
1500 WATERTOWER PL, STE 300, EAST LANSING, MI 48823-8049
(517) 351-7640
(517) 351-9462
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
213ES0131X
Foot Surgery Podiatrist
5901001391
MI
213ES0131X
Foot Surgery Podiatrist
5901001875
MI
213ES0131X
Foot Surgery Podiatrist
590100788
MI
Other
Enumeration date
01/29/2008
Last updated
04/13/2012
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