Individual
JANICE L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
44201 DEQUINDRE RD, TROY, MI 48085-1117
(248) 259-7528
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
(947) 522-1860
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301065574
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3280786
—
MI
Enumeration date
10/04/2006
Last updated
10/10/2022
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