Individual
DANIKA BRIANNE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 CHAPMAN FARMS BLVD, MUKWONAGO, WI 53149-8877
(262) 363-6160
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
125075725
IL
207Q00000X
Family Medicine Physician
Primary
82147
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100247456
—
WI
Enumeration date
03/23/2020
Last updated
10/20/2023
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