Individual
LEONARD B JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19251 MACK AVE, 333, GROSSE POINTE WOODS, MI 48236-2893
(313) 343-7280
(313) 343-7921
Mailing address
43800 GARFIELD RD, CLINTON TOWNSHIP, MI 48038-1136
(313) 343-7280
(313) 343-7921
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
4301062126
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3499036
—
MI
Enumeration date
08/29/2005
Last updated
05/11/2009
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