Individual
ELIZABETH JOHNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4100 JOHN R ST, DETROIT, MI 48201-2013
(800) 527-6266
Mailing address
4201 SAINT ANTOINE ST STE 9C, DETROIT, MI 48201-2153
(313) 966-0463
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
2018021495
MO
207VX0201X
Gynecologic Oncology Physician
Primary
4351051843
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2018021495
—
MO
Enumeration date
07/02/2018
Last updated
09/13/2023
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