Individual
DR. DAVID P JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1121 E NORTH AVE, COLUMBIA-ST. MARY'S FAMILY PRACTICE, MILWAUKEE, WI 53212-3515
(414) 267-6500
(414) 267-3894
Mailing address
1121 E NORTH AVE, COLUMBIA-ST. MARY'S FAMILY PRACTICE, MILWAUKEE, WI 53212-3515
(414) 267-6500
(414) 267-3894
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39070
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004000215W
HUMANA
—
05
—
1235180084
—
WI
Enumeration date
05/15/2006
Last updated
01/31/2013
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