Organization
JOHNSONS DIALYSIS MANAGEMENT LLC
Active
Other names
Bingham Care PT
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WATSENE JOHNSON (OWNER)
(313) 659-3315
Entity
Organization
Contact information
Practice address
17721 FENKELL ST, SUITE 111, DETROIT, MI 48227-1513
(313) 659-3315
Mailing address
17721 FENKELL ST, SUITE 111, DETROIT, MI 48227-1513
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
05/03/2012
Last updated
05/03/2012
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