Search › Michigan › 133V00000X
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 IncInferred 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