SearchMichigan133V00000X

Derek Johnson, RDN

NPI 1306523824 · on the registry since 2023

Practice

Address
400 Mack Ave
Detroit, MI 48201
Phone
(313) 448-9600
Organisation at this address
Wayne Pediatrics Inc.
University Physician Group
Supportive Care Services Of Michigan Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
39

Registry record

Primary taxonomy
133V00000X
133V00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-06-28

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