Individual
MRS. DEBORAH RUTH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
20548 FENKELL ST, DETROIT, MI 48223-1613
(313) 255-3333
Mailing address
7642 PARK MEADOW LN, WEST BLOOMFIELD, MI 48324-4103
(248) 210-3024
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704222716
MI
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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