MAT A JOHNSON

LA CROSSE, WI
NPI1508862640
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: WI  139646)
Enumeration Date2005-06-23
Last Update Date2013-04-18
Business Address
-- MAT A JOHNSON CRNA
1836 SOUTH AVE
LA CROSSE, WI 54601-5429
Phone number: 608-782-7300
Mailing Address
-- MAT A JOHNSON CRNA
1836 SOUTH AVE
LA CROSSE, WI 54601-5429
Phone number: 608-782-7300