Individual provider · Type 1 NPI
Marissa Marie Johnson, P.A.-C.
Medical Physician Assistant · Dearborn, MI
NPI number
1396997862
Active
Practice location
6620 Schaefer Rd
Dearborn, MI 48126-4502
Fax (313) 582-3301
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 5601003464 (MI) |
Medical Physician Assistant: Definition to come...
3 other providers at this address
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About NPI 1396997862
Marissa Marie Johnson, P.A.-C.'s National Provider Identifier is 1396997862, issued on Oct 16, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Dearborn, MI. The record was last updated on Oct 16, 2008.