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Dr. Kory James Johnson, DO
Orthopedic Surgery Physician in Grand Rapids, Michigan
NPI 1952539603

Kory James Johnson is a Orthopedic Surgery Physician based in Grand Rapids, MI. Kory James Johnson practices in Grand Rapids, MI and has the professional credentials of DO. The NPI Number for Kory James Johnson is 1952539603 and holds a License No. 036135656 (Michigan).

The current practice location address for Kory James Johnson is 555 Midtowne St Ne, Grand Rapids, MI and can be reached out via phone at 616-459-7101 and via fax at 616-464-6170.

Location: 555 Midtowne St Ne, Grand Rapids, MI, 49525-6406
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952539603
Provider Name
Kory James Johnson
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
555 Midtowne St Ne, Grand Rapids, MI, 49525-6406
Phone Number
616-459-7101
Fax Number
616-464-6170
Provider Enumeration Date
07/01/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
OD14869 01 MI MEDICARE GROUP PTAN
institution
Provider Business Practice Location Address Details
Address
555 Midtowne St Ne
City
Grand Rapids
State
Michigan
Zip
49503-5729
Phone Number
616-459-7101
Fax Number
616-464-6170
person
Provider Business Mailing Address Details
Address
555 Midtowne St Ne
City
Grand Rapids
State
Michigan
Zip
49503-5729
Phone Number
616-459-7101
Fax Number
616-464-6170
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
-
Taxonomy
207X00000X
License No.
5101018118 (Michigan)
Definition
An orthopedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Adult Reconstructive Orthopedic Surgery
Taxonomy
207XS0114X
License No.
036135656 (Illinois)
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopedic surgery, adult reconstructive orthopedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
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