Individual
SHERYL L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
35 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2514
(616) 267-2660
Mailing address
PO BOX 30516, DEPT 9541, LANSING, MI 48909-8016
(800) 475-6236
Taxonomy
Speciality
Code
Description
License number
State
207ZP0213X
Pediatric Pathology Physician
35.131146
OH
207ZP0213X
Pediatric Pathology Physician
Primary
4301502126
MI
2084P0800X
Psychiatry Physician
0101231150
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518907138
—
VA
Enumeration date
06/08/2006
Last updated
07/03/2024
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