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Samuel Johnson, MD
Specialist in Southfield, Michigan
NPI 1891713186

Samuel Johnson is a Specialist based in Southfield, MI. Samuel Johnson practices in Southfield, MI and has the professional credentials of MD. The NPI Number for Samuel Johnson is 1891713186 and holds a License No. 4301051997 (Michigan).

The current practice location address for Samuel Johnson is 24500 Northwestern Hwy, Southfield, MI and can be reached out via phone at 248-353-1280 and via fax at 248-353-6193.

Location: 24500 Northwestern Hwy, Southfield, MI, 48075-2414
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891713186
Provider Name
Samuel Johnson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
24500 Northwestern Hwy, Southfield, MI, 48075-2414
Phone Number
248-353-1280
Fax Number
248-353-6193
Provider Enumeration Date
07/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1967470 05 MI
institution
Provider Business Practice Location Address Details
Address
24500 Northwestern Hwy
City
Southfield
State
Michigan
Zip
48075-2414
Phone Number
248-353-1280
Fax Number
248-353-6193
person
Provider Business Mailing Address Details
Address
24500 Northwestern Hwy
City
Southfield
State
Michigan
Zip
48075-2414
Phone Number
248-353-1280
Fax Number
248-353-6193
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
4301051997 (Michigan)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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