Individual
CRYSTAL L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1500 EAST MEDICAL CENTER DRIVE, UH-IM NEPHROLOGY, ANN ARBOR, MI 48109-5364
(734) 888-2871
(734) 936-4649
Mailing address
3621 SOUTH STATE STREET, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601001751
MI
Other
Enumeration date
09/25/2013
Last updated
09/25/2013
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