Individual
MARYL R JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
44716
WI
207RC0000X
Cardiovascular Disease Physician
44716
WI
Other
Enumeration date
02/28/2006
Last updated
01/15/2021
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