Individual
MELANIE HANNA-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD MHSA
Contact information
Practice address
26400 W 12 MILE RD STE 145, SOUTHFIELD, MI 48034-1700
(248) 359-8034
(248) 359-8660
Mailing address
400 MACK AVE, DETROIT, MI 48201-2136
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301406391
MI
Other
Enumeration date
06/06/2006
Last updated
02/23/2022
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