Individual
THOMAS MARK JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 LANGWORTHY ST, DUBUQUE, IA 52001-7313
(563) 584-3425
(563) 584-3497
Mailing address
1500 ASSOCIATES DR, DUBUQUE, IA 52002-2201
(563) 584-4100
(563) 584-4110
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
21505
IA
207RC0000X
Cardiovascular Disease Physician
29644
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0160531
—
IA
Enumeration date
05/16/2006
Last updated
11/25/2009
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