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Individual

DIONE MICHEL JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
15606 SOUTHFIELD RD, ALLEN PARK, MI 48101-2513
(313) 216-6200
Mailing address
7430 2ND AVE, SUITE 210, DETROIT, MI 48202-2739
(313) 748-4200

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704202173
MI

Other

Enumeration date
12/11/2012
Last updated
11/20/2015
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