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Individual

CHRISTA JOHNSON MARS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1222 E WOODLAND AVE, BARRON, WI 54812-1765
(715) 537-3166
Mailing address
1222 E WOODLAND AVE, BARRON, WI 54812-1765
(715) 537-3166

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
14966R
LA
208600000X
Surgery Physician
Primary
41999 020
WI

Other

Enumeration date
07/28/2005
Last updated
01/12/2012
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