Search › Michigan › 175T00000X
Jimmie Johnson
NPI 1154168433 · on the registry since 2024
Practice
- Address
- 22170 W 9 Mile Rd
Southfield, MI 48033 - Phone
- (248) 372-6800
- Organisation at this address
- Easter Seals
Genoa Healthcare Llc
Easter Seals Michigan
Easter Seals Michigan
Easter Seals - Michigan, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 204
Registry record
- Primary taxonomy
- 175T00000X
175T00000X
- Sex
- Male
- Record last updated
- 2024-07-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan