Individual
SARA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 W MAUMEE ST, ADRIAN, MI 49221-1804
(517) 265-5444
Mailing address
3418 MAYAPPLE LN, APT 32, JACKSON, MI 49201-7286
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004933
MI
Other
Enumeration date
12/08/2015
Last updated
03/17/2018
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