Individual
ERIK E. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2845 GREENBRIER RD, SUITE 230, GREEN BAY, WI 54311-6519
(920) 288-8250
(920) 288-8255
Mailing address
164 N BROADWAY, GREEN BAY, WI 54303-2728
(920) 288-8250
(920) 288-8255
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
48136
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770531279
—
WI
Enumeration date
05/05/2006
Last updated
10/10/2013
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