TIMOTHY W JOHNSON

AVON, IN
NPI1033425145
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IN  10001198)
Enumeration Date2010-08-26
Last Update Date2010-08-26
Business Address
-- TIMOTHY W JOHNSON PA
1111 RONALD REAGAN PKWY
AVON, IN 46123-7085
Phone number: 317-472-7317
Mailing Address
-- TIMOTHY W JOHNSON PA
5446 RELIABLE PKWY
CHICAGO, IL 60686-0001
Phone number: 317-472-7317
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