Individual
AKEIRA LASHELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35.127011
OH
207Q00000X
Family Medicine Physician
55732
WI
207R00000X
Internal Medicine Physician
Primary
55732
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366679607
—
WI
Enumeration date
06/13/2009
Last updated
02/04/2019
Update your record
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