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Individual

MR. RANDALL ROY JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
47081
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3455700
WI
01
P00144769
RAILROAD MEDICARE
WI
Enumeration date
06/13/2006
Last updated
08/10/2022
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