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Individual

DR. RICHARD BRIAN JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
5755 W MAPLE RD, SUITE 107, WEST BLOOMFIELD, MI 48322-4415
(248) 626-3030
(248) 626-3455
Mailing address
5755 W MAPLE RD, SUITE 107, WEST BLOOMFIELD, MI 48322-4415
(248) 626-3030
(248) 626-3455

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301005521
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
116940
SLECTCARE INSURANCE ID
MI
05
142932577
MI
01
950F32961
BLUE CROSS BLUE SHIELD
MI
Enumeration date
06/16/2006
Last updated
07/13/2010
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