Individual
DR. KEITH ANGELO JOHNSTONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
26206 W 12 MILE RD, SUITE 201, SOUTHFIELD, MI 48034-1754
(248) 355-4545
(248) 355-3855
Mailing address
26206 W 12 MILE RD, SUITE 201, SOUTHFIELD, MI 48034-1754
(248) 355-4545
(248) 355-3855
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
4301048096
MI
207RI0011X
Interventional Cardiology Physician
Primary
4301048096
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3500119
—
MI
Enumeration date
12/01/2005
Last updated
04/15/2014
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