Individual
AMY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
188 E M 72 HWY, GRAYLING, MI 49738-9407
(989) 390-2280
Mailing address
188 E M 72 HWY, GRAYLING, MI 49738-9407
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704423353
MI
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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