Individual
MICHELLE DAWN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2003 ORCHARD ST, MARQUETTE, MI 49855
(906) 360-1080
Mailing address
2003 ORCHARD ST, MARQUETTE, MI 49855-2407
(906) 360-1080
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704212503
MI
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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