NPI 1164729372

Burke John-Erik Johnson, NP

Practitioner Nurse Practitioner Wyandotte, MI

Practice location

Address: 2333 Biddle Ave, Wyandotte, MI 48192-4668
Phone: (734) 246-7095
Fax: (734) 246-8974

Registered specialties

Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence 4704208709 (MI)

Other Nurse Practitioner providers in Michigan →

Registry record

NPI: 1164729372
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Feb 2011
Record last updated: 24 Feb 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.