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Individual

WILLIAM MICHAEL JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
523 CAPE CORAL PKWY E, CAPE CORAL, FL 33904-8545
(239) 549-2772
(239) 549-2332
Mailing address
523 CAPE CORAL PKWY E, CAPE CORAL, FL 33904-8545
(239) 549-2772
(239) 549-2332

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
38349
KY
207P00000X
Emergency Medicine Physician
38349
KY
208D00000X
General Practice Physician
Primary
148661
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200349100
IN
05
64105422
KY
Enumeration date
09/20/2005
Last updated
04/28/2025
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