Individual
DR. MICHAEL TIMOTHY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(877) 229-0273
(920) 288-4863
Mailing address
1035 KEPLER DR, GREEN BAY, WI 54311-8320
(920) 490-9046
(920) 405-8005
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
29163
MN
207L00000X
Anesthesiology Physician
66406
MN
207L00000X
Anesthesiology Physician
Primary
77120-20
WI
207R00000X
Internal Medicine Physician
29163
MN
Other
Enumeration date
11/16/2012
Last updated
04/28/2026
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