Individual
TREVOR JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 E VETERANS ST, TOMAH, WI 54660-3105
(608) 784-3886
Mailing address
500 E VETERANS ST, TOMAH, WI 54660-3105
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
2358420
MN
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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