Yvonne Louise Johnson PA-C

NPI 1205955101 - Physician Assistant - 363AM0700X

NPI Details
NPI 1205955101
Gender Female
Enumeration Date 03/29/2007
Last Updated 12/12/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
6777 W MAPLE RD
SURGICAL SERVICES DEPT/PHYSICAIN VILLAGE
WEST BLOOMFIELD MI, 48322-3013, US
Phone (248) 325-1561
Fax
Business Location
6777 W MAPLE RD
SURGICAL SERVICES DEPT/PHYSICAIN VILLAGE
WEST BLOOMFIELD MI, 48322-3013, US
Phone (248) 325-1561
Fax
Toxanomy
Taxonomy Code 363AM0700X
License State Michigan
License Number 5601002912
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According to our database, Yvonne Louise Johnson PA-C NPI is 1205955101, taxonomy code is 363AM0700X and license number is 5601002912, license state is located at Michigan. Yvonne Louise Johnson PA-C physically located at 6777 W Maple Rd, West Bloomfield MI, 48322-3013. NPI Number Yvonne Louise Johnson PA-C has the Individual type.

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1205955101 NPI number is provided on an as is basis without warranty of any kind. 1205955101 is maintained by the National Plan & Provider Enumeration System. The contents of Yvonne Louise Johnson PA-C are for informational purposes only.