KIMBERLY ANN JOHNSON

ROYAL OAK, MI
NPI1720309362
Former NameKIMBERLY ANN SHAW
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601005757)
Enumeration Date2010-06-17
Last Update Date2011-08-16
Business Address
Mrs. KIMBERLY ANN JOHNSON PA
3601 W 13 MILE RD PHYSICIAN EXTENDER
ROYAL OAK, MI 48073-6712
Phone number: 248-898-4021
Mailing Address
Mrs. KIMBERLY ANN JOHNSON PA
750 STEPHENSON HIGHWAY WILLIAM BEAUMONT HOSPITAL PAYOR CONTRACT SERVICES
TROY, MI 48083-1103
Phone number: 248-577-3520
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