Individual
CARRIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-7203
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
38443
IA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
81769
WI
207RP1001X
Pulmonary Disease Physician
2017-00872
NC
207RP1001X
Pulmonary Disease Physician
47517
KY
207RP1001X
Pulmonary Disease Physician
Primary
81769
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002486900
—
FL
Enumeration date
05/23/2007
Last updated
09/15/2023
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