| Doctor Name: | DIONE MICHEL JOHNSON |
| NPI Number: | 1114262532 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP-C |
| License Number: | 4704202173 |
| Business Practice Address: | 15606 Southfield Rd Allen Park, MI - 481012513 |
| Business Phone Number: | 3132166200 |
| Business Fax Number: | |
| Mailing Address: | 7430 2nd Ave, Suite 210 DETROIT |
| State: | MI |
| Postal Code: | 482022739 |
| Phone Number: | 3137484200 |
| Fax Number: | |
| NPI Enumeration Date: | 12/11/2012 |
| NPI Last Update Date: | 11/20/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 4704202173 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |