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Individual

ROBERT JOHN JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2809 E HAMILTON AVE # 107, EAU CLAIRE, WI 54701-6863
(715) 834-1555
(715) 835-0263
Mailing address
2809 E HAMILTON AVE # 107, EAU CLAIRE, WI 54701-6863
(715) 834-1555
(715) 835-0263

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
46168
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00468921
MEDICARE RAILROAD
WI
Enumeration date
08/02/2006
Last updated
05/16/2014
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