Individual
BRADLEY F JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
824 ILLINOIS AVE, STEVENS POINT, WI 54481-3112
(715) 346-5000
Mailing address
900 ILLINOIS AVE, STEVENS POINT, WI 54481-3114
(715) 342-7500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23980
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31412400
—
WI
Enumeration date
05/31/2006
Last updated
05/15/2012
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