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1174595730
BRAD NATHAN JOHNSON
LANSING, MI
NPI
1174595730
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
207L00000X Anesthesiology
(Licence: MI BS015087)
Enumeration Date
2006-02-07
Last Update Date
2007-07-08
Business Address
BRAD NATHAN JOHNSON DO
405 W GREENLAWN AVE #106
LANSING, MI 48910-2898
Phone number: 517-482-2118
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Mailing Address
BRAD NATHAN JOHNSON DO
405 W GREENLAWN AVE #106
LANSING, MI 48910-2898
Phone number: 517-482-2118
Copy
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