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Individual

MICHELE MARTIN JOHNSON

Active
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Individual

MICHELE MARTIN JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD043813
DC
208VP0014X
Interventional Pain Medicine Physician
D74481
MD

Other

Enumeration date
12/31/2007
Last updated
11/16/2022
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