Individual
COY H JOHNSTON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4005 COMMUNITY CENTER DR, WESTON, WI 54476-4139
(715) 241-5400
Mailing address
4005 COMMUNITY CENTER DR, WESTON, WI 54476-4139
(715) 241-5400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
59857
WI
Other
Enumeration date
05/16/2011
Last updated
05/21/2014
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