HATTIE JOHNSON

Clinic/Center - Student Health

Active Individual
NPI: 1790577179

Practice Address

17250 W 12 MILE RD STE 211A
Southfield, MI 48076

Phone: (248) 508-2858

Specialties

Specialty Code Primary License
Clinic/Center - Student Health 261QS1000X Yes -

Frequently Asked Questions

NPI 1790577179 is the National Provider Identifier for HATTIE JOHNSON, a Clinic/Center - Student Health provider located in Southfield, MI. This NPI was enumerated on May 21, 2025.
HATTIE JOHNSON practices at 17250 W 12 MILE RD STE 211A, Southfield, MI 48076.

Quick Facts

NPI
1790577179
Type
Individual
Enumerated
May 21, 2025
Last Updated
May 21, 2025

Nearby Providers