Individual
SCOTT JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1014 EVEREST BLVD, WAUSAU, WI 54403-5057
(715) 218-7670
Mailing address
1014 EVEREST BLVD, WAUSAU, WI 54403-5057
(715) 218-7670
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/02/2019
Last updated
04/02/2019
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