Individual
KAREN RUTH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3145 W CLARK RD, SUITE 401, YPSILANTI, MI 48197-1120
(734) 528-5700
(734) 528-5701
Mailing address
3145 W CLARK RD, SUITE 401, YPSILANTI, MI 48197-1120
(734) 528-5700
(734) 528-5701
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704221733
MI
Other
Enumeration date
12/01/2014
Last updated
09/11/2015
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