SHELLY L JOHNSEN

MANITOWOC, WI
NPI1922016690
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WI  45814020)
Enumeration Date2006-08-04
Last Update Date2018-09-04
Business Address
SHELLY L JOHNSEN MD
3509 DEWEY ST
MANITOWOC, WI 54220
Phone number: 920-686-5731
Mailing Address
SHELLY L JOHNSEN MD
3509 DEWEY ST
MANITOWOC, WI 54220-5813
Phone number: 920-686-5731