Individual
DAVID JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5555 CONNER ST # 2063, DETROIT, MI 48213-3448
(313) 923-1655
Mailing address
5555 CONNER ST # 2063, DETROIT, MI 48213-3448
(313) 923-1655
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/09/2021
Last updated
12/09/2021
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