JOHN J JOHNSEN

OSHKOSH, WI
NPI1174512461
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: WI  4939)
Enumeration Date2005-10-19
Last Update Date2007-07-08
Business Address
JOHN J JOHNSEN LAT
800 ALGOMA BLVD
OSHKOSH, WI 54901-3551
Phone number: 920-424-3225
Mailing Address
JOHN J JOHNSEN LAT
1570 MIDWAY PL
MENASHA, WI 54952-1165
Phone number: 920-720-1784