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Individual
CHAZ JOHNSON
Active
Individual
CHAZ JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
4301110587
MI
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
70561
WI
Other
Enumeration date
06/17/2016
Last updated
07/06/2021
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