Individual
MADELINE CLAIRE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 JEFFERSON AVE, TOLEDO, OH 43604-7101
(111) 111-1111
Mailing address
601 JOHN ST STE 100, KALAMAZOO, MI 49007-5317
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601013501
MI
Other
Enumeration date
01/29/2024
Last updated
11/05/2025
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