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1053773374
BRYAN JOHNSTON
MILWAUKEE, WI
NPI
1053773374
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WI 68134)
Enumeration Date
2016-03-25
Last Update Date
2019-07-25
Business Address
BRYAN JOHNSTON
2400 W VILLARD AVE
MILWAUKEE, WI 53209-4901
Phone number: 414-527-8348
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Mailing Address
BRYAN JOHNSTON
2400 W VILLARD AVE
MILWAUKEE, WI 53209-4901
Phone number: 414-527-8348
Copy
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