Organization
JOHNSON CHIROPRACTIC HEALTH CENTER, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRET Z JOHNSON D.C. (OWNER/PRESIDENT)
(920) 921-4910
Entity
Organization
Contact information
Practice address
195 14TH ST, FOND DU LAC, WI 54935-5976
(920) 921-4910
(920) 921-8645
Mailing address
PO BOX 1451, FOND DU LAC, WI 54936-1451
(920) 921-4910
(920) 921-8645
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4292-012
WI
Other
Enumeration date
04/29/2010
Last updated
04/29/2010
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