Individual
MADALYN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
(402) 995-5253
Mailing address
5827 CEDAR ST, OMAHA, NE 68106-2237
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2136
NE
Other
Enumeration date
06/05/2017
Last updated
06/05/2017
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