Individual
DR. GRANT LOGAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2343 SILVERNAIL RD, PEWAUKEE, WI 53072-5402
(262) 548-9000
Mailing address
2343 SILVERNAIL RD, PEWAUKEE, WI 53072-5402
(262) 548-9000
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6027-12
WI
Other
Enumeration date
11/01/2022
Last updated
11/01/2022
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