| Gary A Johnson, MD | |
|
1024 N Main St, Rice Lake, WI 54868-1236 | |
| (715) 234-8151 | |
| (715) 234-9750 |
| Full Name | Gary A Johnson |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 1024 N Main St, Rice Lake, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457419988 | NPI | - | NPPES |
| 230014100 | Medicaid | MN | |
| 31559000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 22411 (Wisconsin) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | 46214 (Minnesota) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Gary A Johnson, MD 1024 N Main St, Rice Lake, WI 54868-1236 Ph: (715) 234-8151 | Gary A Johnson, MD 1024 N Main St, Rice Lake, WI 54868-1236 Ph: (715) 234-8151 |
Thomas Michael Pelant, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1024 N Main St, Rice Lake, WI 54868 Phone: 715-234-8151 Fax: 715-234-9750 | |
Robert D Lefsrud, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1024 N Main St, Rice Lake, WI 54868 Phone: 715-234-8151 Fax: 715-234-9750 | |
Steven F Krah, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1700 W Stout St, Rice Lake, WI 54868 Phone: 715-236-8100 | |
Natasha Eshbaugh, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1024 N Main St, Rice Lake, WI 54868 Phone: 715-234-8151 Fax: 715-234-9750 | |
Richard W Swanson, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1024 N Main St, Rice Lake, WI 54868 Phone: 715-234-8151 Fax: 715-234-7950 | |
Fabio Emiliano Valenzuela Sosa, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1700 W Stout St, Rice Lake, WI 54868 Phone: 715-236-8100 |