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Individual

CHRISTINE L. JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
201 N MAYFAIR RD # 320, WAUWATOSA, WI 53226-4216
(414) 256-1950
(414) 259-7251
Mailing address
201 N MAYFAIR RD # 320, WAUWATOSA, WI 53226-4216
(414) 256-1950
(414) 259-7251

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
237-023
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
42926800
WI
Enumeration date
08/23/2006
Last updated
03/25/2026
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