Individual
DR. PAUL RONALD JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
N15W28300 GOLF RD, PEWAUKEE, WI 53072
(262) 303-5055
(262) 303-5057
Mailing address
N15W28300 GOLF RD, PEWAUKEE, WI 53072-4800
(262) 303-5055
(262) 303-5027
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
69298
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124381710
—
WI
Enumeration date
06/19/2012
Last updated
11/05/2019
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