Individual
JACOB JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
405 STAGELINE RD, HUDSON, WI 54016-7848
(715) 531-6000
Mailing address
7090 STEVENSVILLE BARODA RD, STEVENSVILLE, MI 49127-9782
(715) 497-2112
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
5101022137
MI
207P00000X
Emergency Medicine Physician
Primary
71536-21
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/10/2015
Last updated
03/10/2026
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