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1467520908
LYNNE C. JOHANNESSEN
DETROIT, MI
NPI
1467520908
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MI 4301044564)
Enumeration Date
2006-12-01
Last Update Date
2007-07-08
Business Address
LYNNE C. JOHANNESSEN M.D.
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number: 313-916-2600
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Mailing Address
LYNNE C. JOHANNESSEN M.D.
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number: 313-916-2600
Copy
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