DAVID ROBERT JOHNSEN

GREAT LAKES, IL
NPI1467420422
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2006-03-08
Last Update Date2008-06-06
Business Address
Mr. DAVID ROBERT JOHNSEN Navy IDC
3001A SIXTH STREET NAVAL HOSPITAL FISHER CLINIC
GREAT LAKES, IL 60088
Phone number: 847-688-2469
Mailing Address
Mr. DAVID ROBERT JOHNSEN Navy IDC
1130 BOB OFARRELL LN
BEACH PARK, IL 60099-4512
Phone number: 847-263-8867
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