Individual
DAN JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3117 SHORE DR, MARINETTE, WI 54143-4293
(715) 732-8200
Mailing address
164 N BROADWAY, GREEN BAY, WI 54303-2728
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
11/20/2014
Last updated
11/20/2014
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