TIMOTHY P JOHNSON

WAUSAU, WI
NPI1154686384
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: WI  15381930)
Enumeration Date2012-07-13
Last Update Date2012-07-13
Business Address
-- TIMOTHY P JOHNSON CRNA
425 PINE RIDGE BLVD STE 211
WAUSAU, WI 54401-4123
Phone number: 715-845-5505
Mailing Address
-- TIMOTHY P JOHNSON CRNA
425 PINE RIDGE BLVD STE 211
WAUSAU, WI 54401-4123
Phone number: 715-845-5505
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