Individual
LEIGHTON C. JOHNSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC, BELOIT, WI 53511-1842
(608) 364-2230
(608) 363-7394
Mailing address
1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC, BELOIT, WI 53511-1842
(608) 364-2230
(608) 363-7394
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
036068897
IL
207X00000X
Orthopaedic Surgery Physician
Primary
53312-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811915085
—
WI
Enumeration date
07/17/2006
Last updated
10/19/2011
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