Individual
PETER JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 N OAK AVE, OB/GYN DEPARTMENT, MARSHFIELD, WI 54449-5703
(715) 387-5161
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
4301086033
MI
207V00000X
Obstetrics & Gynecology Physician
Primary
54873-020
WI
Other
Enumeration date
04/13/2007
Last updated
04/05/2024
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