SCOTT CHARLES JOHNSON

MILWAUKEE, WI
NPI1912223553
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208800000X Urology
(Licence: WI  56567)
Additional Taxonomies208800000X Urology
(Licence: IL  036.137435)
Enumeration Date2010-04-07
Last Update Date2017-07-03
Business Address
-- SCOTT CHARLES JOHNSON
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226-3522
Phone number: 414-805-0805
Mailing Address
-- SCOTT CHARLES JOHNSON
9200 W WISCONSIN AVENUE
MILWAUKEE, WI 53226-3522
Phone number: 414-805-0805
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