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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. THOMAS MARK JOHNSON, RN

Active Sole Proprietor

MR. THOMAS MARK JOHNSON, RN is a General Practice Nurse healthcare provider located in SCANDINAVIA, Wisconsin. NPI 1881069862 is currently active in the NPPES registry. Verify at CMS.

General Practice Nurse · SCANDINAVIA, WI

Registration Details

NPI Number
1881069862
Provider Type
Individual
Gender
Male
NPI Issued
Dec 2, 2015 (10.721367378722 yrs)
Last Updated
Dec 2, 2015
License
69342-30 (WI)
Sole Proprietor
Yes

Practice Information

Address
N5733 GURHOLT LAKE RD
SCANDINAVIA, WI, 549779736
Browse WI providers · Browse ZIP 54977
Phone
7154672324
Primary Specialty
General Practice Nurse
163WG0000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.