| NPI | 1528337094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA G JOHNSON Owner Sole Proprietor 517-381-0299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: MI 5101009343) |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2011-12-29 |