Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
REBA E. JOHNSON, M.D.
ActiveAllergy & Immunology · CLARKSTON, MI
Registration Details
- NPI Number
- 1437178795
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 18, 2006 (19.809324684713 yrs)
- Last Updated
- Aug 1, 2017
- Licenses
-
4301082354 (MI)4301082354 (MI)
Practice Information
- Address
-
5701 BOW POINTE DRIVESUITE 110CLARKSTON, MI, 483463199Browse MI providers · Browse ZIP 48346
- Phone
- 2483848310
- Fax
- 2483848312
- Primary Specialty
-
Allergy & Immunology
207K00000X
- Additional Specialty
- Allergy & Immunology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.