Search › Michigan › 363A00000X
Dallas Johnston, PA
NPI 1386394898 · on the registry since 2022
Practice
- Address
- 100 Michigan St Ne # Mc019
Grand Rapids, MI 49503 - Phone
- (616) 486-0310
- Clinicians at this address
- 11
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-10-09
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