RYAN MICHAEL JOHNSON

NORMAL, IL
NPI1932559119
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207T00000X Neurological Surgery
(Licence: IL  125069500)
Enumeration Date2016-06-17
Last Update Date2016-06-17
Business Address
Dr. RYAN MICHAEL JOHNSON D.O.
1300 FRANKLIN AVE STE 110
NORMAL, IL 61761-3799
Phone number: 309-268-3502
Mailing Address
Dr. RYAN MICHAEL JOHNSON D.O.
2000 N LINDEN ST APT C305
NORMAL, IL 61761-5337
Phone number: 740-632-3117