Individual
DEVIN BROOKE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3217 STEIN BLVD, EAU CLAIRE, WI 54701-6946
(715) 835-6548
(715) 835-7708
Mailing address
3217 STEIN BLVD, EAU CLAIRE, WI 54701-6946
(715) 835-6548
(715) 835-7708
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
40161-020
WI
208800000X
Urology Physician
Primary
40161-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34608500
—
WI
01
—
60363
DEAN HEALTH INSURANCE
WI
Enumeration date
06/15/2006
Last updated
01/27/2015
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