Individual
DEBORAH L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1221 WHIPPLE ST, EAU CLAIRE, WI 54703-5270
(715) 838-3311
Mailing address
1101 W CLAIREMONT AVE, STE 2C, EAU CLAIRE, WI 54701-4503
(715) 834-8721
(715) 834-3087
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
46119
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34437300
—
WI
Enumeration date
08/12/2005
Last updated
04/29/2014
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