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1386141927
JAMES HERSCHEL JOHNSON
WAUSAU, WI
NPI
1386141927
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WI 52171)
Enumeration Date
2018-04-10
Last Update Date
2018-04-10
Business Address
JAMES HERSCHEL JOHNSON MD
333 PINE RIDGE BLVD
WAUSAU, WI 54401-4120
Phone number: 715-847-2121
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Mailing Address
JAMES HERSCHEL JOHNSON MD
2116 CRESWELL ST
WAYCROSS, GA 31503-7746
Phone number: 912-278-0127
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