Rory Michael Johnson MD

NPI 1669481057 - Family Medicine - 207Q00000X

NPI Details
NPI 1669481057
Gender Male
Enumeration Date 08/05/2006
Last Updated 02/29/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
610 W. ADAMS STREET
BLACK RIVER FALLS WI, 54615-9010, US
Phone (715) 284-4311
Fax (715) 284-2568
Business Location
610 W . ADAMS STREET
BLACK RIVER FALLS WI, 54615-9010, US
Phone (715) 284-4311
Fax (715) 284-2568
Toxanomy
Taxonomy Code 207Q00000X
License State Wisconsin
License Number 41453
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According to our database, Rory Michael Johnson MD NPI is 1669481057, taxonomy code is 207Q00000X and license number is 41453, license state is located at Wisconsin. Rory Michael Johnson MD physically located at 610 W. Adams Street, Black River Falls WI, 54615-9010. NPI Number Rory Michael Johnson MD has the Individual type.

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1669481057 NPI number is provided on an as is basis without warranty of any kind. 1669481057 is maintained by the National Plan & Provider Enumeration System. The contents of Rory Michael Johnson MD are for informational purposes only.