Individual
KARLY LYNN JOHANNSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1405 MILL ST, NEW LONDON, WI 54961-2155
(920) 531-2400
(920) 531-2404
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 830-5900
(920) 830-5910
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
84063
WI
Other
Enumeration date
03/23/2022
Last updated
10/06/2025
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