Timothy P Johnson, CRNA

NPI #1154686384 in Wausau, Wisconsin

Provider Information

NPI Number
1154686384
Entity Type
Individual
Name
Timothy P Johnson, CRNA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Anesthetist, Certified Registered
Credential
CRNA
Enumeration Date
Jul 13, 2012
Last Updated
Jul 13, 2012

Practice Location

Address
425 PINE RIDGE BLVD
Address 2
STE 211
City
Wausau
ZIP Code
54401-4123
Phone
(715) 845-5505

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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