Prairie Clinic, Sc

NPI #1215349196 in Sauk City, Wisconsin

Provider Information

NPI Number
1215349196
Entity Type
Organization
Organization Name
Prairie Clinic, Sc
Primary Specialty
Physician Assistant - Medical
Enumeration Date
May 27, 2014
Last Updated
Apr 15, 2024

Practice Location

Address
112 HELEN ST
ZIP Code
53583-1101
Phone
(608) 643-3351

Authorized Official

Name
MR. STEVEN J JOHNSON, M.D.
Title
MEDICAL DOCTOR
Phone
(608) 643-3351

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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