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Individual
DR. JEREMY DAVID JOHNSON
Active
Individual
DR. JEREMY DAVID JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., MPH
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
62508-20
WI
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
MD60358064
WA
Other
Enumeration date
06/13/2011
Last updated
07/27/2026
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