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Individual

DR. JANET F JOHNS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1200 56TH ST SW, WYOMING, MI 49509-9704
(616) 514-3803
(616) 243-1170
Mailing address
8485 ALGOMA AVE NE, ROCKFORD, MI 49341-9102
(616) 863-6220
(616) 863-6221

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301039651
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11279536
CAQH
MI
05
134594310
MI
01
193200000X
TAXONOMY CODE
MI
Enumeration date
03/11/2006
Last updated
03/14/2011
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