Individual
DR. EDWARD L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
ONE HURLEY PLAZA, FAMILY AMBULATORY CLINIC, FLINT, MI 48503
(810) 257-9191
(810) 257-9187
Mailing address
1085 S LINDEN RD, SUITE 150, FLINT, MI 48532-3421
(810) 732-3240
(810) 230-0280
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301050587
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4113290
—
MI
01
—
OB56031
BLUE CROSS BLUE SHIELD MI
MI
Enumeration date
01/23/2007
Last updated
07/09/2007
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