Individual
JOHN A JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
9104 N 75TH ST, APT. 3A, MILWAUKEE, WI 53223-2064
(414) 758-8894
Mailing address
9104 N 75TH ST, APT. 3A, MILWAUKEE, WI 53223-2064
(414) 758-8894
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2957931
WI
Other
Enumeration date
07/26/2013
Last updated
07/26/2013
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