Raymond D Johnson CRNA

NPI 1164515292 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1164515292
Gender Male
Enumeration Date 10/02/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
33155 ANNAPOLIS ST
WAYNE MI, 48184-2405, US
Phone (734) 467-4667
Fax (734) 467-2303
Business Location
255 W MICHIGAN AVE
JACKSON MI, 49201-2218, US
Phone (517) 787-6440
Fax (517) 787-4146
Toxanomy
Taxonomy Code 367500000X
License State Michigan
License Number 4704182937
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According to our database, Raymond D Johnson CRNA NPI is 1164515292, taxonomy code is 367500000X and license number is 4704182937, license state is located at Michigan. Raymond D Johnson CRNA physically located at 33155 Annapolis St, Wayne MI, 48184-2405. NPI Number Raymond D Johnson CRNA has the Individual type.

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1164515292 NPI number is provided on an as is basis without warranty of any kind. 1164515292 is maintained by the National Plan & Provider Enumeration System. The contents of Raymond D Johnson CRNA are for informational purposes only.