Individual
KRISTIN MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
5694 MIDLAND RD, FREELAND, MI 48623-8845
(989) 695-2123
(989) 695-2316
Mailing address
5694 MIDLAND RD, FREELAND, MI 48623-8845
(989) 695-2123
(989) 695-2316
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601006706
MI
Other
Enumeration date
07/17/2013
Last updated
10/13/2014
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