Individual
MRS. SUSAN LINN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
611 COURT ST, WEST BRANCH, MI 48661-9390
(989) 345-7000
(989) 345-7479
Mailing address
611 COURT ST, WEST BRANCH, MI 48661-9390
(989) 345-7000
(989) 345-7479
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4704176730
MI
363LF0000X
Family Nurse Practitioner
Primary
4704176730
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4624578
—
MI
Enumeration date
06/12/2006
Last updated
03/17/2018
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