Jeremiah Johnson's National Provider Identifier (NPI) Details
Jeremiah Johnson,
NPI: 1669027066
Enumeration Date: 2019-08-03
Last updated: 2023-05-06
Sole Proprietor: YES
Status: active
Postal Address: 5215 N IRONWOOD RD STE 202, GLENDALE, WI
Phone: 715-903-6444
Primary Practice Address: 5215 N IRONWOOD RD STE 202, GLENDALE, WI
Practice's phone: 715-903-6444