Organization
CHARLES JOHNSON DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES JOHNSON DPM (DPM)
(313) 862-5800
Entity
Organization
Contact information
Practice address
10244 W 7 MILE RD, DETROIT, MI 48221-1904
(313) 862-5800
(313) 862-2865
Mailing address
10244 W 7 MILE RD, DETROIT, MI 48221-1904
(313) 862-5800
(313) 862-2865
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
CJ001211
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4866541
—
MI
Enumeration date
01/09/2007
Last updated
11/22/2007
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