Individual
SUSAN R JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1400 BELLINGER ST, EAU CLAIRE, WI 54703
(715) 838-3635
Mailing address
PO BOX 1510, EAU CLAIRE, WI 54702-1510
(715) 838-3635
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4344
WI
363A00000X
Physician Assistant
PA1589
KY
Other
Enumeration date
09/09/2010
Last updated
09/14/2020
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