Individual
DR. ANDREW JOHANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5332 SPRING ST, MOUNT PLEASANT, WI 53406-2910
(262) 633-6325
(262) 633-6326
Mailing address
5332 SPRING ST, MOUNT PLEASANT, WI 53406-2910
(262) 633-6325
(262) 633-6326
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5463-12
WI
Other
Enumeration date
07/01/2019
Last updated
12/22/2019
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