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Travis Johnson

NPI 1255921946 · on the registry since 2021 · sole proprietor

Practice

Address
2814 Woodcliff Cir Se
Grand Rapids, MI 49506
Phone
(185) 583-2672
Clinicians at this address
157

Registry record

Primary taxonomy
106S00000X
106S00000X
Also registered as
247200000X
Sex
Male
Record last updated
2021-05-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan