Organization
JOHNSON CHIROPRACTIC OFFICE, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITCHELL W JOHNSON III D.C. (PRESIDENT)
(920) 324-5641
Entity
Organization
Contact information
Practice address
716 W MAIN ST, WAUPUN, WI 53963-1230
(920) 324-5641
(920) 324-5655
Mailing address
716 W MAIN ST, WAUPUN, WI 53963-1230
(920) 324-5641
(920) 324-5655
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1419-012
WI
Other
Enumeration date
12/25/2006
Last updated
08/22/2020
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