| Dr Jo Ann Johnson, D.o., P.l.c. | |
|
3220 Silver Lake Rd Fenton MI 48430 | |
| (810) 750-1763 | |
| (810) 750-1786 |
| Full Name | Dr Jo Ann Johnson, D.o., P.l.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 3220 Silver Lake Rd, Fenton, Michigan |
| Authorized Official Name and Position | Jo Ann Johnson (PRESIDENT OWNER) |
| Authorized Official Contact | 8107501763 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jo Ann Johnson, D.o., P.l.c. 3220 Silver Lake Rd Fenton MI 48430 Ph: (810) 750-1763 | Dr Jo Ann Johnson, D.o., P.l.c. 3220 Silver Lake Rd Fenton MI 48430 Ph: (810) 750-1763 |
| NPI Number | 1548283633 |
|---|---|
| Provider Enumeration Date | 07/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548283633 | NPI | - | NPPES |
| 4638359 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101010026 (Michigan) | Primary |
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