Individual
AARON R JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8495
Mailing address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8340
(920) 926-8370
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
48454
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34943200
—
WI
01
—
P00463064
RAILROAD MEDICARE
WI
Enumeration date
04/19/2006
Last updated
02/29/2016
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