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Contact Information

CAMILLE E JOHNSON, MD
20905 GREENFIELD RD STE 600
SOUTHFIELD, MI48075-5355
 Phone: 586-646-2100
 Fax: 586-327-1441
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
 

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for CAMILLE E JOHNSON · (Female)

NPI # 1558337147
Status Active
Credentials MD
Entity Individual
Enumeration date 02/24/2006
Last updated 10/17/2025 - About 8 months ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301061672
  • MI Medicaid 4706904
  • MI Other 1108235612 BC
  • MI Other 1108235612 BCN
Hospital affiliation(s)
  • ST JOHN HOSPITAL AND MEDICAL CENTER - (Acute Care)
    22101 MOROSS RD
    DETROIT, MI 48236
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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