Individual
MR. ANDREW JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGPCNP
Contact information
Practice address
25500 MEADOWBROOK RD STE 250, NOVI, MI 48375-1883
(248) 277-3110
Mailing address
25500 MEADOWBROOK RD STE 250, NOVI, MI 48375-1883
(248) 277-3110
(248) 946-4423
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
4704278639
MI
Other
Enumeration date
06/23/2016
Last updated
03/13/2025
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