Individual
COLIN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3232 N BALLARD RD STE 100, APPLETON, WI 54911-8804
(920) 729-7105
(920) 739-2609
Mailing address
3232 N BALLARD RD STE 100, APPLETON, WI 54911-8804
(920) 729-7105
(920) 831-8306
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
70977
WI
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
70977
WI
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
MD-49494
IA
Other
Enumeration date
04/05/2017
Last updated
10/21/2025
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