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1639341076
WALLACE EMANUEL JOHNSON
DETROIT, MI
NPI
1639341076
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: MI 4301027092)
Enumeration Date
2008-03-26
Last Update Date
2008-04-28
Business Address
Dr. WALLACE EMANUEL JOHNSON MD
273 LEEWARD CT
DETROIT, MI 48207-5053
Phone number: 313-393-2741
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Mailing Address
Dr. WALLACE EMANUEL JOHNSON MD
273 LEEWARD CT
DETROIT, MI 48207-5053
Phone number: 313-393-2741
Copy
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