Individual
MRS. MICHELLE LYNN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
38364 YONKERS DR, STERLING HEIGHTS, MI 48310-3459
(248) 390-1994
Mailing address
38364 YONKERS DR, STERLING HEIGHTS, MI 48310-3459
(248) 390-1994
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
5201004069
MI
Other
Enumeration date
05/31/2006
Last updated
01/08/2009
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