RUSSELL JOHNSON

MILWAUKEE, WI
NPI1710345483
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WI  4642)
Enumeration Date2016-02-09
Last Update Date2025-06-03
Business Address
RUSSELL JOHNSON
2801 W KINNICKINNIC RIVER PKWY STE 370
MILWAUKEE, WI 53215-3678
Phone number: 414-649-7900
Mailing Address
RUSSELL JOHNSON
PO BOX 735044
CHICAGO, IL 60673-5044
Phone number: 800-326-2250
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