Individual
RUTH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
655 E CEDAR AVE, GLADWIN, MI 48624-2215
(989) 426-9295
Mailing address
108 E MAY ST., GLADWIN, MI 48624
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
MI
Other
Enumeration date
11/28/2016
Last updated
11/28/2016
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