John J Johnsen, LAT

NPI #1174512461 in Oshkosh, Wisconsin

Provider Information

NPI Number
1174512461
Entity Type
Individual
Name
John J Johnsen, LAT
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
LAT
Enumeration Date
Oct 19, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
800 ALGOMA BLVD
ZIP Code
54901-3551
Phone
(920) 424-3225

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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