DR. Johnathon David Justice, M.D.

NPI #1437419801 in Thorp, Wisconsin

Provider Information

NPI Number: 1437419801
Entity Type: Individual
Name: DR. Johnathon David Justice, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: May 20, 2012
Last Updated: Jul 7, 2015

Practice Location

Address: 704 S CLARK ST
City: Thorp
State: Wisconsin
ZIP Code: 54771-7624
Phone: (715) 669-7279

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Family Medicine	207Q00000X	Primary

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