Individual
CALVIN E JOHNSON SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8623 N WAYNE RD, WESTLAND, MI 48185-1137
(313) 740-9130
Mailing address
8623 N WAYNE RD, WESTLAND, MI 48185-1137
(313) 740-9130
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/13/2024
Last updated
07/13/2024
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