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Individual

DR. JANINE FELICE-JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
6635 NORTH ST, BENZONIA, MI 49616
(231) 882-5533
(231) 882-7105
Mailing address
6635 NORTH ST, BENZONIA, MI 49616
(231) 882-5533
(231) 882-7105

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1007090
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
350055226
RAIL ROAD MEDICARE
01
950A010070
BCBS
Enumeration date
01/18/2007
Last updated
09/30/2011
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