Individual
MEGAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1460 ASTOR AVE, ANN ARBOR, MI 48104-6144
(734) 637-2894
Mailing address
1460 ASTOR AVE, ANN ARBOR, MI 48104-6144
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704289265
MI
Other
Enumeration date
08/06/2015
Last updated
08/06/2015
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