Individual
AMANDA JO JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1541 GULL RD, SUITE 200, KALAMAZOO, MI 49048-1644
(269) 552-0331
Mailing address
8055 COUNTRY PINE DR SE, ALTO, MI 49302-9142
(616) 901-0280
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
MI
Other
Enumeration date
03/02/2017
Last updated
03/30/2017
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