Individual
MARIE R JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
164753-30
Contact information
Practice address
1550 WILDWOOD DR, PLAIN, WI 53577-9644
(608) 546-9834
Mailing address
E7391 OCHSNER RD, PLAIN, WI 53577-9711
(608) 544-3533
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
164753-30
WI
Other
Enumeration date
09/07/2012
Last updated
09/07/2012
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