Individual
ABBY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
(810) 606-5000
Mailing address
6480 CRESTVIEW DR, HOLLY, MI 48442-8437
(636) 288-4455
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5151017390
MI
Other
Enumeration date
11/16/2023
Last updated
05/27/2025
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