Individual
MR. DOUGLAS SCOTT JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
21649 GODDARD RD, D386, TAYLOR, MI 48180-4299
(734) 374-3548
(734) 374-3549
Mailing address
19326 BUCK AVE, BROWNSTOWN, MI 48174-9567
(734) 942-0776
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
MI
Other
Enumeration date
09/12/2005
Last updated
07/08/2007
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