Individual
PAMELA JOY LEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
27351 DEQUINDRE RD, MADISON HEIGHTS, MI 48071-3487
(248) 967-7795
Mailing address
7125 W STOLL RD, LANSING, MI 48906-9317
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101015961
MI
Other
Enumeration date
04/02/2007
Last updated
08/19/2009
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