Individual
DR. MICHAEL A JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D,D,S
Contact information
Practice address
820 DAVIS ST, SUITE 460, EVANSTON, IL 60201-4431
(847) 332-2226
(847) 332-1683
Mailing address
820 BRAINARD RD, HIGHLAND HEIGHTS, OH 44143-3106
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
06/15/2006
Last updated
07/08/2007
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