person
Gary A Johnson, MD
Diagnostic Radiology Physician in Rice Lake, Wisconsin
NPI 1457419988

Gary A Johnson is a Diagnostic Radiology Physician based in Rice Lake, WI and is specialized in Diagnostic Radiology. Gary A Johnson practices in Rice Lake, WI and has the professional credentials of MD. The NPI Number for Gary A Johnson is 1457419988 and holds a License No. 22411 (Wisconsin).

The current practice location address for Gary A Johnson is 1024 N Main St, Rice Lake, WI and can be reached out via phone at 715-234-8151 and via fax at 715-234-9750.

Location: 1024 N Main St, Rice Lake, WI, 54868-1236
person
Provider Profile Details
NPI Number
1457419988
Provider Name
Gary A Johnson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1024 N Main St, Rice Lake, WI, 54868-1236
Phone Number
715-234-8151
Fax Number
715-234-9750
Provider Enumeration Date
12/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
230014100 05 MN
31559000 05 WI
institution
Provider Business Practice Location Address Details
Address
1024 N Main St
City
State
Zip
54868-1236
Phone Number
715-234-8151
Fax Number
715-234-9750
person
Provider Business Mailing Address Details
Address
1024 N Main St
City
State
Zip
54868-1236
Phone Number
715-234-8151
Fax Number
715-234-9750
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
22411 (Wisconsin)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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