Individual
DR. CANDICE AITKEN JOHNSTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
9200 W WISCONSIN AVE, DEPARTMENT OF RADIATION ONCOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-4400
(414) 805-4369
Mailing address
9200 W WISCONSIN AVE, DEPARTMENT OF RADIATION ONCOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-4400
(414) 805-4369
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
55106
WI
2085R0203X
Therapeutic Radiology Physician
12688
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011244
—
VT
05
—
1518982461
—
WI
05
—
30205309
—
NH
Enumeration date
07/13/2006
Last updated
04/07/2023
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