Individual
DR. CRIS WILLIAM JOHNSTON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
115 ORANGE ST, PRESCOTT, WI 54021-1728
(715) 262-5559
Mailing address
W9722 290TH AVE, HAGER CITY, WI 54014-8349
(715) 262-5559
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
2470-057
WI
103G00000X
Clinical Neuropsychologist
LP 0160
MN
Other
Enumeration date
10/18/2005
Last updated
07/08/2007
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