Individual
MS. LINDA R. JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1715 W DEAN RD, SUITE C, TEMPERANCE, MI 48182-9406
(734) 847-8100
(734) 847-6824
Mailing address
1715 W DEAN RD, SUITE C, TEMPERANCE, MI 48182-9406
(734) 847-8100
(734) 847-6824
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
4704214498
MI
367A00000X
Advanced Practice Midwife
NM04013
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104414006
—
MI
05
—
2343324
—
OH
Enumeration date
08/24/2005
Last updated
03/19/2012
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