person
Heather Johnson, PA
Medical Physician Assistant in Plymouth, Michigan
NPI 1366656449

Heather Johnson is a Medical Physician Assistant based in Plymouth, MI and is specialized in Medical. Heather Johnson practices in Plymouth, MI and has the professional credentials of PA. The NPI Number for Heather Johnson is 1366656449 and holds a License No. 5601004334 (Michigan).

The current practice location address for Heather Johnson is 990 W Ann Arbor Trl, Plymouth, MI and can be reached out via phone at 734-414-1099 and via fax at 734-414-1065.

Location: 990 W Ann Arbor Trl, Plymouth, MI, 48170-6204
person
Provider Profile Details
NPI Number
1366656449
Provider Name
Heather Johnson
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
990 W Ann Arbor Trl, Plymouth, MI, 48170-6204
Phone Number
734-414-1099
Fax Number
734-414-1065
Provider Enumeration Date
05/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5601004334 01 MI LICENSE
institution
Provider Business Practice Location Address Details
Address
990 W Ann Arbor Trl
City
State
Zip
48170-6204
Phone Number
734-414-1099
Fax Number
734-414-1065
person
Provider Business Mailing Address Details
Address
990 W Ann Arbor Trl
City
State
Zip
48170-6204
Phone Number
734-414-1099
Fax Number
734-414-1065
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
5601004334 (Michigan)
Definition
Definition to come...
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