Individual
KRISTIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2201 LAKE SHORE DR E, ASHLAND, WI 54806
(715) 685-6600
(715) 685-6601
Mailing address
2201 LAKE SHORE DR E, ASHLAND, WI 54806-2331
(715) 685-6600
(715) 685-6601
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
70021
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2015
Last updated
12/04/2020
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