Individual
MRS. WENDY MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Contact information
Practice address
3434 W BROADWAY, COUNCIL BLUFFS, IA 51501-3291
(712) 325-0022
(712) 325-8102
Mailing address
3434 W BROADWAY, COUNCIL BLUFFS, IA 51501-3291
(712) 325-0022
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001208
IA
Other
Enumeration date
05/16/2007
Last updated
09/25/2014
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