Individual
MARY MARGARET JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 N MADISON ST, MARSHALL, MI 49068-1143
(269) 781-4271
Mailing address
200 N MADISON ST, MARSHALL, MI 49068-1143
(269) 781-4271
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301050976
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2791817
—
MI
Enumeration date
10/12/2006
Last updated
12/12/2014
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