Individual
MRS. SUSAN MARY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
139 ORCHARD ST, WILLIAMS BAY, WI 53191-9709
(262) 581-6737
Mailing address
139 ORCHARD ST, WILLIAMS BAY, WI 53191-9709
(262) 581-6737
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
171930-30
WI
Other
Enumeration date
07/07/2022
Last updated
07/25/2022
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