Individual
MICHAEL JOHN JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC , CSCS
Contact information
Practice address
2800 JOLLY RD, OKEMOS, MI 48864
(517) 351-7900
Mailing address
4990 SHAFTSBURG RD, WILLIAMSTON, MI 48895
(517) 655-3734
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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