BREENA MARIE JOHNSON

PETOSKEY, MI
NPI1982908075
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: MI  5601006233)
Enumeration Date2011-01-04
Last Update Date2014-01-10
Business Address
-- BREENA MARIE JOHNSON PA-C
416 CONNABLE AVE
PETOSKEY, MI 49770-2212
Phone number: 231-330-4235
Mailing Address
-- BREENA MARIE JOHNSON PA-C
790 RED OAK WAY
PETOSKEY, MI 49770-2979
Phone number: