Individual
AMANDA KATHARINE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1001 POTRERO AVE, BUILDING 10, 3RD FLOOR, WARD 13, SAN FRANCISCO, CA 94110-3518
(650) 814-4863
Mailing address
3053 N 44TH ST, MILWAUKEE, WI 53210-1712
(650) 814-4863
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A142362
CA
Other
Enumeration date
04/21/2014
Last updated
07/21/2022
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