Individual
ERIN MAE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2601 FIELDCREST DR, KAUKAUNA, WI 54130
(920) 462-6100
Mailing address
2601 FIELDCREST DR, KAUKAUNA, WI 54130-4523
(920) 462-6100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
327423
WI
Other
Enumeration date
04/23/2014
Last updated
12/02/2020
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