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1972914349
ERIC D JOHNSON
GRAND RAPIDS, MI
NPI
1972914349
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601007669)
Enumeration Date
2014-05-19
Last Update Date
2023-03-27
Business Address
ERIC D JOHNSON PA-C
4100 LAKE DR SE STE 200
GRAND RAPIDS, MI 49546-8292
Phone number: 616-391-3759
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Mailing Address
ERIC D JOHNSON PA-C
100 MICHIGAN ST NE MC 845
GRAND RAPIDS, MI 49503-2560
Phone number:
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