Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marissa Marie Johnson, PA-C

Individual provider Medical Physician Assistant · NPI 1396997862

Marissa Marie Johnson, PA-C is a Medical Physician Assistant in Dearborn, Michigan. Licensed in Michigan. Registered with an NPI since 2008.

Licensed in
MI
In the registry since
2008
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

6620 Schaefer Rd
Dearborn, MI 48126-4502
Phone: (313) 582-3700
Fax: (313) 582-3301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5601003464 (MI)

Record details

NPI number1396997862
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 16, 2008
Last updated in NPPESOctober 16, 2008

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