Individual
MR. HENRY LEE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4612 CRESCENT RD, FITCHBURG, WI 53711-4616
(608) 220-1786
Mailing address
4612 CRESCENT RD, FITCHBURG, WI 53711-4616
(608) 220-1786
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
157216
WI
Other
Enumeration date
05/07/2016
Last updated
05/07/2016
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