Individual
SALLY-ANN P JOHANNSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
717 HIDDEN CAVE RD, MADISON, WI 53717-2755
(608) 203-5309
Mailing address
717 HIDDEN CAVE RD, MADISON, WI 53717-2755
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3502-23
WI
Other
Enumeration date
12/27/2006
Last updated
02/05/2020
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