Individual
COLLIN B JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
725 AMERICAN AVE, WAUKESHA, WI 53188-5031
(262) 928-2287
(262) 928-4699
Mailing address
725 AMERICAN AVE, WAUKESHA, WI 53188-5031
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
18976
WI
Other
Enumeration date
05/04/2006
Last updated
07/08/2007
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