Individual
RHONDA MICHELLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11900 E 12 MILE RD, SUITE 200, WARREN, MI 48093-3400
(586) 558-9033
(586) 573-4209
Mailing address
11900 E 12 MILE RD, SUITE 200, WARREN, MI 48093-3400
(586) 558-9033
(586) 573-4209
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
4301049617
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408630
—
MI
Enumeration date
02/28/2007
Last updated
07/08/2007
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