Individual
JANE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8392 HOLLY RD, GRAND BLANC, MI 48439-1867
(810) 695-1770
(814) 069-5664
Mailing address
1601 E MICHIGAN AVE, STE 2, LANSING, MI 48912-2894
(517) 485-3789
(517) 485-4789
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301058020
MI
Other
Enumeration date
10/24/2006
Last updated
06/13/2018
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