Individual
AMY L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
515 22ND AVE, MONROE, WI 53566-1569
(608) 324-2000
Mailing address
515 22ND AVE, MONROE, WI 53566-1569
(608) 324-2000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036-079834
IL
208000000X
Pediatrics Physician
Primary
26994
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000257
PHYSICIANS PLUS
—
01
—
10869
DEAN HEALTH PLAN
—
01
—
30661700
HIRSP
—
05
—
30661700
—
WI
01
—
370004381
MEDICARE RAILROAD
—
01
—
390808509
CT GENERAL
—
01
—
39080850914
UNITY
—
01
—
39080850930
UNITY
—
01
—
39080850960
UNITY
—
01
—
90002361
WEA INS
—
01
—
L86567
MEDICARE
—
Enumeration date
07/21/2006
Last updated
12/21/2020
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