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Dominique Latrice Johnson, DO
Family Medicine Physician in Southfield, Michigan
NPI 1386218147

Dominique Latrice Johnson is a Family Medicine Physician based in Southfield, MI. Dominique Latrice Johnson practices in Southfield, MI and has the professional credentials of DO. The NPI Number for Dominique Latrice Johnson is 1386218147 and holds a License No. 5151015221 (Michigan).

The current practice location address for Dominique Latrice Johnson is 22250 Providence Dr Ste 557, Southfield, MI and can be reached out via phone at 248-849-3447.

Location: 22250 Providence Dr Ste 557, Southfield, MI, 48075-6213
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386218147
Provider Name
Dominique Latrice Johnson
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
22250 Providence Dr Ste 557, Southfield, MI, 48075-6213
Phone Number
248-849-3447
Fax Number
Provider Enumeration Date
05/17/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
22250 Providence Dr Ste 557
City
Southfield
State
Michigan
Zip
48075-6213
Phone Number
248-849-3447
Fax Number
person
Provider Business Mailing Address Details
Address
22250 Providence Dr Ste 557
City
Southfield
State
Michigan
Zip
48075-6213
Phone Number
248-849-3447
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
5151015221 (Michigan)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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