Individual
MICHAEL A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3916 N INTERTECH CT, APPLETON, WI 54913
(920) 996-1000
(920) 997-8302
Mailing address
N7763 STATE PARK RD, SHERWOOD, WI 54169-9629
(920) 213-1823
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33994-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31904500
—
WI
01
—
P00085735
RR MEDICARE
—
Enumeration date
07/06/2006
Last updated
07/03/2025
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