Mrs. Andrea G Johnson
General Practice Physician Neuromusculoskeletal Medicine (NMM)
2501 Jolly Rd Suite 120
Okemos
, Michigan 48864-3676
Mrs. Andrea G Johnson
General Practice Physician Neuromusculoskeletal Medicine (NMM)
2501 Jolly Rd Suite 120
Okemos
, Michigan 48864-3676
(517) 381-9950
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About
Features
Specialties
- Neuromusculoskeletal Medicine (NMM)
- General Practice Physician
Languages spoken
- English
Location
First Address
- Mrs. Andrea G Johnson
- 2501 Jolly Rd Suite 120
- Okemos, MI
- Zip : 48864-3676
- Fax : (517) 381-9950
- Phone : (517) 381-0299
Second Address
- Mrs. Andrea G Johnson
- 2501 Jolly Rd Suite 120
- Okemos, MI
- Zip : 48864-3676
- Fax : (517) 381-9950
- Phone : (517) 381-0299
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 5101009343 | MI |
| N | 208D00000X | General Practice Physician | 5101009343 | MI |
National Provider Identifier
| NPI | 1679568174 |
|---|---|
| Provider Name | Mrs. Andrea G Johnson |
| First Address | Okemos, MI 48864-3676 |
| Second Address | Okemos, MI 48864-3676 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/09/2005 |
| Last Update Date | 01/11/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| F09765 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.