Individual
ANDREW JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1403 INKSTER RD, INKSTER, MI 48141-1831
(313) 826-2023
Mailing address
1403 INKSTER RD, INKSTER, MI 48141-1831
(313) 565-2200
(313) 565-2580
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
MI
Other
Enumeration date
05/26/2017
Last updated
05/26/2017
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