NICHOLAS DAVID JOHNSON

GRAND RAPIDS, MI
NPI1427558477
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: MI  5601008568)
Enumeration Date2018-02-16
Last Update Date2018-02-16
Business Address
Mr. NICHOLAS DAVID JOHNSON PA
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503-4502
Phone number: 616-685-5000
Mailing Address
Mr. NICHOLAS DAVID JOHNSON PA
1900 44TH ST SE
KENTWOOD, MI 49508-5008
Phone number: