Individual
NEIL C. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
225 CHURCH ST, STOUGHTON, WI 53589
(608) 877-2777
(608) 877-2726
Mailing address
5201 BROOKSIDE DR APT 105, MADISON, WI 53718-1922
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
154803
WI
Other
Enumeration date
08/20/2012
Last updated
06/27/2018
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