CHARLES M JOHNSON PODIATRIST PC
Medical Practice in Detroit, MI

License number
Michigan CJ001211
Category
Medical Practice
Type
Foot & Ankle Surgery
Owner
Name: DR. CHARLES M. JOHNSON DPM
Title: DIRECTOR/OWNER
Phone: (313) 862-5800
Address
Address
10244 Mile Rd, Detroit, MI 48221
National Provider ID: 1902955560
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CHARLES M. JOHNSON, PODIATRIST, PC

Detroit, MI

Status:
Inactive
Registration:
Feb 1, 2002
Addresses:
10244 W 7 Mile Rd, Detroit, MI 48221 (Physical)
Michigan (Mailing)
State ID:
25130C
Business type:
Domestic Professional Service Corporation
Expiration:
7-15-2009
Agent:
Charles M Johnson

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