Orvis J. R. Johnson Dds,Sc Valid NPI
Organization · Health Maintenance Organization · North Fond Du Lac, WI
- NPI
- 1063512267
- Type
- Organization (Type 2)
- Primary specialty
- Health Maintenance Organization
- Specialty group
- Managed Care Organizations
- Taxonomy code
- 302R00000X
- License number
- 5000785-015 (WI)
- Enumerated
- 2006-09-25
- Last updated
- 2020-08-22
Practice location
825 Prospect Ave
North Fond Du Lac, WI 54937-1365
(920) 923-0310