institution
Charles M Johnson Podiatrist Pc
Foot & Ankle Surgery Podiatrist in Detroit, Michigan
NPI 1902955560

Charles M Johnson Podiatrist Pc is a Foot & Ankle Surgery Podiatrist based in Detroit, MI and is specialized in Foot & Ankle Surgery. Charles M Johnson Podiatrist Pc practices in Detroit, MI. The NPI Number for Charles M Johnson Podiatrist Pc is 1902955560 and holds a License No. CJ001211 (Michigan).

The current practice location address for Charles M Johnson Podiatrist Pc 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
institution
Provider Profile Details
NPI Number
1902955560
Provider Name
Charles M Johnson Podiatrist Pc
Credential
Provider Entity Type
Organization
Address
10244 W 7 Mile Rd, Detroit, MI, 48221-1904
Phone Number
313-862-5800
Fax Number
313-862-2865
Provider Enumeration Date
01/10/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0P47360 01 MI MEDICARE GROUP
4866541 05 MI
480H232610 01 MI BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
10244 W 7 Mile Rd
City
State
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
State
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
Foot & Ankle Surgery
Taxonomy
License No.
CJ001211 (Michigan)
Definition
Definition to come...
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