Search › Michigan › 363AM0700X
Marissa Johnson, P.A.-C
NPI 1396997862 · on the registry since 2008
Practice
- Address
- 6620 Schaefer Rd
Dearborn, MI 48126 - Phone
- (313) 582-3700
- Fax
- (313) 582-3301
- Organisation at this address
- Dearborn Specialty Pharmacy Inc
Dearborn Pediatric & Adolescent Medical Center, PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-10-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan