Search › Michigan › 1041C0700X
Derek Johnson
NPI 1770986556 · on the registry since 2014 · sole proprietor
Practice
- Address
- 23772 West Rd # 195
Brownstown Twp, MI 48183 - Phone
- (734) 512-9367
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-06-27
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