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Shannon McDuff Johnson, MD

Internal Medicine in Canton, MI. Individual provider (NPI-1).

NPI number1164048401
StatusActive
Last updated in NPPESAug 22, 2023

Details

NPI
1164048401
Entity type
Individual (NPI-1)
Name
Shannon McDuff Johnson
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Jun 23, 2020
Certification date
Aug 22, 2023
Last updated
Aug 22, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine4301509709MIYes

Practice location

1051 N Canton Center Rd
Canton, MI 48187-5097

Phone 734-998-2020

Mailing address

3621 S State St
Ann Arbor, MI 48108-1633

Phone 734-647-5299

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