Search › Michigan › 311ZA0620X
Gilbert Johnson
NPI 1417324575 · on the registry since 2015 · sole proprietor
Practice
- Address
- 15800 Fairmount Dr
Detroit, MI 48205 - Phone
- (313) 850-5205
- Organisation at this address
- Gilbert
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 311ZA0620X
311ZA0620X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-08-25
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