Individual
STEPHAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1009 W RIDGE ST, MARQUETTE, MI 49855-3997
(906) 228-6545
(906) 228-8236
Mailing address
97 S 4TH ST, ISHPEMING, MI 49849-2168
(906) 228-9699
(888) 972-2109
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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