Individual
MS. ALICE URSULA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 FORD PL, DETROIT, MI 48202-3450
(313) 874-6765
(313) 874-9515
Mailing address
3525 TOTHILL DR, TROY, MI 48084-1045
(248) 390-3067
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
4704204653
MI
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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