Individual
MACKENZIE SUE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1670 E SHERMAN BLVD STE 100, MUSKEGON, MI 49444-1863
(231) 672-3600
(231) 672-3601
Mailing address
1670 E SHERMAN BLVD STE 100, MUSKEGON, MI 49444-1863
(231) 672-3600
(231) 672-3601
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5315236633
MI
Other
Enumeration date
05/23/2023
Last updated
09/26/2023
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