Individual
EDWARD N. JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
308 CENTRAL AVE, SAULT SAINTE MARIE, MI 49783-1102
(906) 632-2722
Mailing address
308 CENTRAL AVE, SAULT SAINTE MARIE, MI 49783-1102
(906) 632-2722
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301036719
MI
Other
Enumeration date
04/18/2007
Last updated
08/22/2007
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