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Organization

OKEMOS OSTEOPATHIC CENTER PLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ANDREA G JOHNSON D.O., M.S. (OWNER-SOLE PROPRIETOR)
(517) 381-0299
Entity
Organization

Contact information

Practice address
2501 JOLLY ROAD, SUITE 120, OKEMOS, MI 48864-3676
(517) 381-0299
(517) 381-9950
Mailing address
2501 JOLLY ROAD, SUITE 120, OKEMOS, MI 48864-3676
(517) 381-0299
(517) 381-9950

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
5101009343
MI

Other

Enumeration date
12/29/2011
Last updated
12/29/2011
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