Individual
TASHA R JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3821 SPRING STREET, RACINE, WI 53405-1667
(262) 687-8460
(262) 687-3906
Mailing address
3821 SPRING STREET, RACINE, WI 53405-1667
(262) 687-8460
(262) 687-3906
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
1365-TEP
WI
207V00000X
Obstetrics & Gynecology Physician
Primary
48982
WI
Other
Enumeration date
04/20/2006
Last updated
11/29/2010
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