Individual
COLIN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3109 MOUNT PLEASANT ST, RACINE, WI 53404-1511
(262) 664-6520
Mailing address
3109 MOUNT PLEASANT ST, RACINE, WI 53404-1511
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
261122-30
WI
Other
Enumeration date
05/15/2026
Last updated
05/15/2026
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