Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mariesa L Johnson, PA-C

Individual provider Physician Assistant · NPI 1427755859

Mariesa L Johnson, PA-C is a Physician Assistant in Grosse Pointe, Michigan. Practices as a sole proprietor and works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

468 Cadieux Rd
Grosse Pointe, MI 48230-1507
Phone: (313) 473-6899
Fax: (313) 473-1509
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 36555 26 Mile Rd Ste 1100, Lenox, MI 48048-3186 — (947) 523-4010

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601011569 (MI)

Record details

NPI number1427755859
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedFebruary 15, 2023
Last updated in NPPESMarch 7, 2024
Certification dateMarch 7, 2024

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