# OKEMOS OSTEOPATHIC CENTER PLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528337094
- **Authorized official:** MRS. ANDREA G JOHNSON D.O., M.S. (OWNER-SOLE PROPRIETOR)
- **Authorized official phone:** (517) 381-0299

## Contact information

- **Practice address:** 2501 JOLLY ROAD, SUITE 120, OKEMOS, MI 48864-3676
- **Practice address phone:** (517) 381-0299
- **Practice address fax:** (517) 381-9950
- **Mailing address:** 2501 JOLLY ROAD, SUITE 120, OKEMOS, MI 48864-3676
- **Mailing address phone:** (517) 381-0299
- **Mailing address fax:** (517) 381-9950

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 5101009343 | MI | Yes |

## Other

- **Enumeration date:** 12/29/2011
- **Last updated:** 12/29/2011