KHALYNE THERYSE JOHNSON

SHEBOYGAN, WI
NPI1720341274
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: WI  61556-20)
Enumeration Date2012-06-20
Last Update Date2024-09-09
Business Address
Mrs. KHALYNE THERYSE JOHNSON M.D.
1813 ASHLAND AVE
SHEBOYGAN, WI 53081-6125
Phone number: 920-458-4010
Mailing Address
Mrs. KHALYNE THERYSE JOHNSON M.D.
PO BOX 735044
CHICAGO, IL 60673-5044
Phone number: 800-326-2250
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