Individual
DR. PETER ROBERT JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2845 GREENBRIER RD, STE 240, GREEN BAY, WI 54311-6519
(920) 288-8280
(920) 288-8285
Mailing address
164 N BROADWAY, GREEN BAY, WI 54303-2728
(920) 965-4055
(920) 405-5388
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
10164
NV
207V00000X
Obstetrics & Gynecology Physician
Primary
37618
WI
Other
Enumeration date
08/23/2006
Last updated
08/08/2014
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