Nijuanna Pertresh Irby-johnson M.D.

NPI 1366652760 - Internal Medicine - 207R00000X

NPI Details
NPI 1366652760
Gender Female
Enumeration Date 05/23/2007
Last Updated 02/18/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
4900 MERCURY DR SUITE 201
OAKWOOD HEALTHCARE CENTER
DEARBORN MI, 48126, US
Phone (313) 982-4351
Fax
Business Location
47015 HARRIS ROAD
BELLEVILLE MI, 48111, US
Phone (734) 697-2923
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Michigan
License Number 4301084047
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According to our database, Nijuanna Pertresh Irby-johnson M.D. NPI is 1366652760, taxonomy code is 207R00000X and license number is 4301084047, license state is located at Michigan. Nijuanna Pertresh Irby-johnson M.D. physically located at 4900 Mercury Dr Suite 201, Dearborn MI, 48126. NPI Number Nijuanna Pertresh Irby-johnson M.D. has the Individual type.

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1366652760 NPI number is provided on an as is basis without warranty of any kind. 1366652760 is maintained by the National Plan & Provider Enumeration System. The contents of Nijuanna Pertresh Irby-johnson M.D. are for informational purposes only.