Organization
JOHNSON CHIROPRACTIC HEALTH SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY NEIL JOHNSON D.C. (PRESIDENT)
(920) 921-4910
Entity
Organization
Contact information
Practice address
195 14TH ST, FOND DU LAC, WI 54935-5976
(920) 921-4910
(920) 921-8645
Mailing address
195 14TH ST, P.O.BOX 1451, FOND DU LAC, WI 54935-5976
(920) 921-4910
(920) 921-8645
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
1431
WI
Other
Enumeration date
01/15/2008
Last updated
01/15/2008
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