Individual provider · Type 1 NPI

Yvonne Louise Johnson, PA-C

Medical Physician Assistant · West Bloomfield, MI

NPI number 1205955101 Active

Practice location

6777 W Maple Rd, Surgical Services Dept/physicain Village
West Bloomfield, MI 48322-3013

Call (248) 325-1561 Map

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X5601002912 (MI)

Medical Physician Assistant: Definition to come...

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About NPI 1205955101

Yvonne Louise Johnson, PA-C's National Provider Identifier is 1205955101, issued on Mar 29, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in West Bloomfield, MI. The record was last updated on Feb 25, 2021.