Organization
PRAIRIE CLINIC, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN J JOHNSON M.D. (MEDICAL DOCTOR)
(608) 643-3351
Entity
Organization
Contact information
Practice address
112 HELEN ST, SAUK CITY, WI 53583-1101
(608) 643-3351
(608) 643-3621
Mailing address
112 HELEN ST, SAUK CITY, WI 53583-1101
(608) 643-3351
(608) 643-3621
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
05/27/2014
Last updated
04/15/2024
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