Individual
MEGAN PERINOVIC-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3365 S 103RD ST, MILWAUKEE, WI 53227-4161
(414) 607-5280
(414) 607-5288
Mailing address
3365 S 103RD ST, MILWAUKEE, WI 53227-4161
(414) 607-5280
(414) 607-5288
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5401
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437783131
—
WI
Enumeration date
03/03/2020
Last updated
09/23/2021
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