CHARLES WADE JOHNSON

FORT MEADE, SD
NPI1699224931
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2016-09-28
Last Update Date2016-09-28
Business Address
-- CHARLES WADE JOHNSON PA-C
113 COMANCHE RD
FORT MEADE, SD 57741-1002
Phone number: 605-347-7491
Mailing Address
-- CHARLES WADE JOHNSON PA-C
113 COMANCHE RD
FORT MEADE, SD 57741-1002
Phone number: 605-347-7491
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