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Organization

JOHNSON MEDICAL CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CARLA A JOHNSON DO (OWNER AND SOLE PHYSICIAN)
(920) 487-5635
Entity
Organization

Contact information

Practice address
N8434 COUNTY RD S, ALGOMA, WI 54201-9515
(920) 487-5635
Mailing address
N8434 COUNTY RD S, ALGOMA, WI 54201-9515
(920) 487-5635

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30094500
WI
01
HO35675
WISCONSIN CORPORATE NUMBE
WI
Enumeration date
05/02/2007
Last updated
03/07/2023
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