Individual
MR. DOUGLAS EDWARD JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
18791 15 MILE RD, CLINTON TWP, MI 48035-2503
(586) 790-2326
(586) 790-2476
Mailing address
18791 15 MILE RD, CLINTON TWP, MI 48035-2503
(586) 790-2326
(586) 790-2476
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501012060
MI
Other
Enumeration date
02/06/2007
Last updated
08/25/2008
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