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Individual

MONICA S JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
805 S OAKLAND ST, SAINT JOHNS, MI 48879-2253
(989) 227-3400
(989) 224-8744
Mailing address
PO BOX 13008, LANSING, MI 48901-3008
(517) 364-6200
(517) 364-6208

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MI430168567
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1023102803
MI
Enumeration date
10/03/2006
Last updated
01/14/2015
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