Individual
DR. JOHN F. JOHANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1905 E, HUEBBE PARKWAY, BELOIT HEALTH SYSTEM, INC, BELOIT, WI 53511-1842
(608) 364-1460
(608) 364-1455
Mailing address
1905 E, HUEBBE PARKWAY, BELOIT HEALTH SYSTEM, INC, BELOIT, WI 53511-1842
(608) 364-1460
(608) 364-1455
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
036-082777
IL
207RG0100X
Gastroenterology Physician
Primary
27679-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036082777
—
IL
05
—
1477549699
—
WI
Enumeration date
09/22/2005
Last updated
10/19/2011
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