Individual
MR. GREGORY J JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3801 SPRING ST, MOUNT PLEASANT, WI 53405
(262) 687-4011
Mailing address
PO BOX 322, PORT SANILAC, MI 48469-0322
(810) 300-8595
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
243351-30
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11020093
FL
Other
Enumeration date
08/01/2018
Last updated
06/25/2022
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