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Individual
SUSAN L JOHNSON
Active
Individual
SUSAN L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301076337
MI
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
4301076337
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4776382
—
MI
Enumeration date
10/23/2006
Last updated
09/11/2025
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