Individual
DR. TIMOTHY WILLIAM JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4404 STATE ROAD 70, WEBSTER, WI 54893-9251
(715) 349-8554
Mailing address
4404 STATE ROAD 70, WEBSTER, WI 54893-9251
(715) 349-8554
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6271-15
WI
Other
Enumeration date
06/30/2008
Last updated
05/30/2012
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