DR. Charles Marvin Johnson, D.P.M.

NPI #1245327543 in Detroit, Michigan

Provider Information

NPI Number: 1245327543
Entity Type: Individual
Name: DR. Charles Marvin Johnson, D.P.M.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Podiatrist
Credential: D.P.M.
Enumeration Date: Oct 6, 2006
Last Updated: Feb 5, 2009

Practice Location

Address: 10244 W 7 MILE RD
City: Detroit
State: Michigan
ZIP Code: 48221-1904
Phone: (313) 862-5800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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