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Individual

RYAN JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
412 HIGH ST APT 3, MARQUETTE, MI 49855-3876
(517) 294-5788
Mailing address
1778 N HUGHES RD, HOWELL, MI 48843-9174
(517) 294-5788

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704327275
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704327275
MI

Other

Enumeration date
08/30/2022
Last updated
09/23/2025
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