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Individual
THERESE MASZATICS JOHNSON
Active
Individual
THERESE MASZATICS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301054368
MI
207QA0505X
Adult Medicine Physician
4301054368
MI
208100000X
Physical Medicine & Rehabilitation Physician
JJ054368
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104707358
—
MI
Enumeration date
06/07/2006
Last updated
05/21/2025
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