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Dr. Charles Marvin Johnson, DPM
Podiatrist in Detroit, Michigan
NPI 1245327543

Charles Marvin Johnson is a Podiatrist based in Detroit, MI. Charles Marvin Johnson practices in Detroit, MI and has the professional credentials of DPM. The NPI Number for Charles Marvin Johnson is 1245327543 and holds a License No. 5901001211 (Michigan).

The current practice location address for Charles Marvin Johnson is 10244 W 7 Mile Rd, Detroit, MI and can be reached out via phone at 313-862-5800 and via fax at 313-862-2865.

Location: 10244 W 7 Mile Rd, Detroit, MI, 48221-1904
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245327543
Provider Name
Charles Marvin Johnson
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
10244 W 7 Mile Rd, Detroit, MI, 48221-1904
Phone Number
313-862-5800
Fax Number
313-862-2865
Provider Enumeration Date
10/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CJ001211 01 MI LICENSE NUMBER
480H232610 01 MI BLUE CROSS
4866541 05 MI
4858250260 01 MI BCBSM
institution
Provider Business Practice Location Address Details
Address
10244 W 7 Mile Rd
City
Detroit
State
Michigan
Zip
48221-1904
Phone Number
313-862-5800
Fax Number
313-862-2865
person
Provider Business Mailing Address Details
Address
10244 W 7 Mile Rd
City
Detroit
State
Michigan
Zip
48221-1904
Phone Number
313-862-5800
Fax Number
313-862-2865
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
5901001211 (Michigan)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
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