Organization
PAMELA D. JOHNSON, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAMELA D JOHNSON M.D. (C E O)
(248) 852-2040
Entity
Organization
Contact information
Practice address
245 BARCLAY CIR, SUITE 400, ROCHESTER HILLS, MI 48307-5815
(248) 852-2040
(248) 853-7258
Mailing address
245 BARCLAY CIR, SUITE 400, ROCHESTER HILLS, MI 48307-5815
(248) 852-2040
(248) 853-7258
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PJ048870
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0633185
BC/BS OF MI
MI
01
—
102263
PREFERRED CHOICES PPO
—
01
—
2422609003
CIGNA
—
01
—
4133392
AETNA
—
01
—
74717A
HEALTH ALLIANCE PLAN
MI
01
—
B8910
M-CARE
—
Enumeration date
05/23/2008
Last updated
05/23/2008
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