Individual
DR. DONALD DAVID JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2878 MAPLE RIDGE RD, STEVENS POINT, WI 54481-9504
(715) 341-4024
Mailing address
2878 MAPLE RIDGE RD, STEVENS POINT, WI 54481-9504
(715) 341-4024
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16637-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16637-20
MEDICAL LICENSE
WI
Enumeration date
02/20/2010
Last updated
02/20/2010
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