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1427558477
NICHOLAS DAVID JOHNSON
GRAND RAPIDS, MI
NPI
1427558477
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: MI 5601008568)
Enumeration Date
2018-02-16
Last Update Date
2018-02-16
Business Address
Mr. NICHOLAS DAVID JOHNSON PA
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503-4502
Phone number: 616-685-5000
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Mailing Address
Mr. NICHOLAS DAVID JOHNSON PA
1900 44TH ST SE
KENTWOOD, MI 49508-5008
Phone number:
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