Search › Michigan › 207X00000X
Wallace Johnson, MD
NPI 1639341076 · on the registry since 2008 · sole proprietor
Practice
- Address
- 273 Leeward Ct
Detroit, MI 48207 - Phone
- (313) 393-2741
Registry record
- Primary taxonomy
- 207X00000X
207X00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-04-28
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