Individual
NAOMI NADINE JOHNSON WAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
700 S PARK ST, MADISON, WI 53715-1830
(608) 260-2900
Mailing address
700 S PARK ST, MADISON, WI 53715-1830
(608) 260-2900
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2549023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61027
DEAN HEALTH INSURANCE
WI
Enumeration date
06/23/2006
Last updated
12/30/2010
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