Individual
SCOTT CHARLES JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-0805
Mailing address
9200 W WISCONSIN AVENUE, MILWAUKEE, WI 53226-3522
(414) 805-0805
(414) 955-0122
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
036.137435
IL
208800000X
Urology Physician
Primary
56567
WI
Other
Enumeration date
04/07/2010
Last updated
07/03/2017
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