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

Mrs. Andrea G Johnson, CSPOMMDOMB

Individual provider General Practice Physician · NPI 1679568174

Mrs. Andrea G Johnson, CSPOMMDOMB is a General Practice Physician in Okemos, Michigan. Licensed in Michigan. Registered with an NPI since 2005.

Licensed in
MI
In the registry since
2005
Specialties on file
2

Practice location Address checks out

2501 Jolly Rd Ste 120
Okemos, MI 48864-3676
Phone: (517) 381-0299
Fax: (517) 381-9950
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neuromusculoskeletal Medicine & OMM Physician (primary) Taxonomy 204D00000X · Licence 5101009343 (MI)
General Practice Physician Taxonomy 208D00000X · Licence 5101009343 (MI)

Record details

NPI number1679568174
Entity typeIndividual (Type 1)
GenderFemale
Credentials CSPOMMDOMB
Sole proprietorNo
NPI enumeratedSeptember 12, 2005
Last updated in NPPESJune 28, 2022
Certification dateJune 28, 2022

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