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Individual

DR. MICHAEL JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
480 ST CLAIR ST, MOORESVILLE, IN 46158-1337
(317) 584-3073
(317) 584-3073
Mailing address
1022 PAMELA DR, PLAINFIELD, IN 46168-9279
(317) 507-2664

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08003137A
IN

Other

Enumeration date
01/06/2020
Last updated
09/03/2024
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