Individual
DR. DALE ALAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
820 SUMMIT AVE, PROHEALTH CARE MEDICAL ASSOCIATES FP, OCONOMOWOC, WI 53066-3973
(262) 567-0223
(262) 567-6380
Mailing address
820 SUMMIT AVE, PROHEALTH CARE MEDICAL ASSOCIATES FP, OCONOMOWOC, WI 53066-3973
(262) 567-0223
(262) 567-6380
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22410
WI
Other
Enumeration date
03/30/2006
Last updated
01/12/2012
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