Individual
CANDACE KAY WIXSON-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5525 S MARTIN LUTHER KING JR BLVD, LANSING, MI 48911-3546
(517) 913-3888
Mailing address
5525 S MARTIN LUTHER KING JR BLVD, LANSING, MI 48911-3546
(517) 913-3888
(517) 394-8393
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601005899
MI
Other
Enumeration date
09/28/2010
Last updated
10/28/2020
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