Individual
ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14755 215TH AVE, BIG RAPIDS, MI 49307-9224
(231) 796-3200
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007104
MI
Other
Enumeration date
08/28/2014
Last updated
10/21/2025
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