Individual
MR. MICHAEL RORY JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1229 C AVE E, OSKALOOSA, IA 52577-4246
(641) 672-3193
Mailing address
1229 C AVE E, OSKALOOSA, IA 52577-4246
(641) 672-3193
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0014697
IA
Other
Enumeration date
08/30/2006
Last updated
07/03/2015
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