Individual
RORY MICHAEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2345 CANTERBURY LN, SISTER BAY, WI 54234-5602
(920) 868-3511
Mailing address
323 S 18TH AVE, STURGEON BAY, WI 54235-1401
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
41453
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33328200
—
WI
Enumeration date
08/05/2006
Last updated
05/01/2025
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