Individual
MR. BRAD A. JOHNSON
Active
Individual
MR. BRAD A. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
20554
WI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
20554
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100174759
—
WI
05
—
1036645
—
WA
Enumeration date
04/01/2013
Last updated
07/15/2024
Update your record
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