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Individual

KARL JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109
(734) 764-6875
Mailing address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
DR.0060025
CO
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/09/2014
Last updated
07/23/2018
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