Individual
CHARLES CURTIS JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
168 S HOWELL ST, HILLSDALE, MI 49242-2040
(517) 437-4451
Mailing address
12426 MOCERI DR, GRAND BLANC, MI 48439-1930
(810) 694-3921
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
038008
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4163550
—
MI
Enumeration date
02/28/2007
Last updated
07/08/2007
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