Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Wallace Emanuel Johnson, MD

Individual provider Orthopaedic Surgery Physician · NPI 1639341076

Dr. Wallace Emanuel Johnson, MD is an Orthopaedic Surgery Physician in Detroit, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

273 Leeward Ct
Detroit, MI 48207-5053
Phone: (313) 393-2741
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 4301027092 (MI)

Record details

NPI number1639341076
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 26, 2008
Last updated in NPPESApril 28, 2008
Mailing address273 Leeward Ct, Detroit, MI 48207-5053

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