Individual
MR. MICHAEL A JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1707 WESTGATE RD, EAU CLAIRE, WI 54703-4964
(715) 838-5856
(715) 838-5861
Mailing address
N1125 1000TH ST, MONDOVI, WI 54755-9409
(715) 875-4817
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9460-40
WI
Other
Enumeration date
01/31/2013
Last updated
01/31/2013
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