Most Relevant Information
Provider Data
| NPI Number: | 1417950569 |
| Provider Name: | GLENN RAY JOHNSON M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207X00000X |
| Specialty: | Orthopaedic Surgery |
| License Number: | 215501 |
Most Important Dates
| Enumeration Date: | 05/23/2005 |
| Last Updated: | 01/22/2015 |
Provider Practice Location
901 MONTGOMERY ST
DECORAH
IA
521012325
Practice Location Phone/Fax
| Phone: | 5633822911 |
| Fax: | 5633873102 |
Provider Mailing Location
2215 BIG TIMBER RD
CALMAR
IA
521327577
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |
Suggested EMR
Orthopedic EMR