Individual
PAUL M. JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
HENRY FORD HEALTH SYSTEM, 6777 WEST MAPLE ROAD, WEST BLOOMFIELD, MI 48323
(248) 661-6450
(248) 661-6649
Mailing address
HENRY FORD HEALTH SYSTEM, 6777 WEST MAPLE ROAD, WEST BLOOMFIELD, MI 48323
(248) 661-6450
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301051353
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00207727
RAILROAD MEDICARE
MI
01
—
PJ051353
COMMERCIAL-COMMERCIAL NUMBER
—
Enumeration date
04/26/2006
Last updated
03/03/2008
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