DR. Timothy Johnson, D.C.

NPI #1407991573 in Fond Du Lac, Wisconsin

Provider Information

NPI Number: 1407991573
Entity Type: Individual
Name: DR. Timothy Johnson, D.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Feb 20, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 195 EAST 14TH ST.
City: Fond Du Lac
State: Wisconsin
ZIP Code: 54936-1451
Phone: (920) 921-4910

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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