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Individual

DR. SCOTT JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2901 W KINNICKINNIC RIVER PKWY STE 507, MILWAUKEE, WI 53215-3660
(414) 649-3780
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
71424
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100090565
WI
Enumeration date
06/28/2013
Last updated
07/14/2025
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