Individual
ALTON RAY JOHNSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901400410
MI
213ES0131X
Foot Surgery Podiatrist
5901400410
MI
Other
Enumeration date
04/06/2016
Last updated
11/01/2023
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