Search › Wisconsin › 163W00000X
Marie Johnson, 164753-30
NPI 1770832560 · on the registry since 2012 · sole proprietor
Practice
- Address
- 1550 Wildwood Dr
Plain, WI 53577 - Phone
- (608) 546-9834
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-09-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin