Individual
DEAN MICHEAL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
7538 MID TOWN RD APT 105, MADISON, WI 53719-3454
(608) 482-2276
Mailing address
7538 MID TOWN RD APT 105, MADISON, WI 53719-3454
(608) 482-2276
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
238416
WI
Other
Enumeration date
01/02/2020
Last updated
01/02/2020
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