Individual
EMILY MICHELLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
27351 DEQUINDRE RD, MADISON HEIGHTS, MI 48071-3487
(248) 967-7795
(248) 967-7794
Mailing address
27351 DEQUINDRE RD, MADISON HEIGHTS, MI 48071-3487
(248) 967-7795
(248) 967-7794
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
5101020956
MI
Other
Enumeration date
05/29/2014
Last updated
05/29/2014
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