| Charles Wade Johnson, PA-C | |
|
113 Comanche Rd, Fort Meade, SD 57741-1002 | |
| (605) 347-7491 | |
| Not Available |
| Full Name | Charles Wade Johnson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 113 Comanche Rd, Fort Meade, South Dakota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699224931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Wade Johnson, PA-C 113 Comanche Rd, Fort Meade, SD 57741-1002 Ph: (605) 347-7491 | Charles Wade Johnson, PA-C 113 Comanche Rd, Fort Meade, SD 57741-1002 Ph: (605) 347-7491 |
Melissa Piatz, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 113 Comanche Rd, Fort Meade, SD 57741 Phone: 605-347-2511 | |
Michelle Renee Hagen, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 113 Comanche Rd, Fort Meade, SD 57741 Phone: 605-347-2511 | |
Tandis Hoffman, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 113 Comanche Rd, Fort Meade, SD 57741 Phone: 605-347-2511 | |
Jennie A Brehm, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 113 Comanche Rd, Fort Meade, SD 57741 Phone: 605-347-2511 | |
Justin Thurman, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 113 Comanche Rd, Fort Meade, SD 57741 Phone: 605-720-7000 | |
Ronald L Johnson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 113 Comanche Rd, Fort Meade, SD 57741 Phone: 605-347-2511 |