Individual
PETER HAAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
721 AMERICAN AVE STE 108, PROHEALTH CARE REGIONAL CANCER CENTER, WAUKESHA, WI 53188-5071
(262) 928-5350
Mailing address
721 AMERICAN AVE STE 108, PROHEALTH CARE REGIONAL CANCER CENTER, WAUKESHA, WI 53188-5071
(262) 928-5350
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
L8751
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176675001
—
TX
Enumeration date
09/28/2006
Last updated
01/20/2012
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