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Individual

CURTIS N JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
80 1ST ST, PRAIRIE DU SAC, WI 53578-1550
(608) 643-3311
Mailing address
80 1ST ST, PRAIRIE DU SAC, WI 53578-1550
(608) 643-3311

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
112554
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
44329500
WI
01
P00095591
RAILROAD MEDICARE
Enumeration date
05/06/2006
Last updated
08/02/2007
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