Individual
DR. MELISSA KATHLEEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
125043239
IL
208600000X
Surgery Physician
5904
SD
208600000X
Surgery Physician
72696
WI
208600000X
Surgery Physician
Primary
72696-20
WI
Other
Enumeration date
05/27/2006
Last updated
03/13/2020
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