Individual
MRS. ANDREA G JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSPOMM DO MB
Contact information
Practice address
2501 JOLLY RD, SUITE 120, OKEMOS, MI 48864-3676
(517) 381-0299
(517) 381-9950
Mailing address
1150 E SHERMAN BLVD STE 2400, MUSKEGON, MI 49444-1886
(231) 672-6336
(231) 672-6335
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
5101009343
MI
208D00000X
General Practice Physician
5101009343
MI
Other
Enumeration date
09/12/2005
Last updated
06/28/2022
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