OrganizationActive
Advanced Allergy & Asthma PLLC
NPI 1316173263 · Specialist · Clarkston, MI
Provider details
- NPI number
- 1316173263
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Authorized official
- Reba Johnson, Owner
- License
- 4301082354 (MI)
Practice location
5701 Bow Pointe Dr
Suite 110
Clarkston, MI 48346-3198
Phone: (248) 384-8310
Fax: (248) 620-5013
Mailing address
5701 Bow Pointe Dr
Clarkston, MI 48346-3198
Registry dates
- Enumerated
- 2009-06-05
- Last updated
- 2010-12-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.