Individual
HALEY MAE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3013
(248) 661-6591
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(800) 999-5829
(313) 874-4806
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-14027
NC
363A00000X
Physician Assistant
Primary
5601007944
MI
Other
Enumeration date
10/17/2016
Last updated
01/08/2026
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