Individual
DR. CRAIG JOEL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
214 ELKHORN RD, WILLIAMS BAY, WI 53191-9514
(262) 245-2600
(262) 245-6600
Mailing address
PO BOX 358, WILLIAMS BAY, WI 53191-0358
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
29092
WI
2084N0400X
Neurology Physician
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31398400
—
WI
Enumeration date
02/27/2007
Last updated
07/09/2007
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