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1922016690
SHELLY L JOHNSEN
MANITOWOC, WI
NPI
1922016690
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WI 45814020)
Enumeration Date
2006-08-04
Last Update Date
2018-09-04
Business Address
SHELLY L JOHNSEN MD
3509 DEWEY ST
MANITOWOC, WI 54220
Phone number: 920-686-5731
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Mailing Address
SHELLY L JOHNSEN MD
3509 DEWEY ST
MANITOWOC, WI 54220-5813
Phone number: 920-686-5731
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