Individual
DR. WENDY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1035 ALTO ST, SANTA FE, NM 87501-2406
(505) 982-4599
(505) 982-8440
Mailing address
1035 ALTO ST, SANTA FE, NM 87501-2406
(505) 982-4599
(505) 982-8440
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35074913
OH
207Q00000X
Family Medicine Physician
Primary
98-299
NM
207Q00000X
Family Medicine Physician
MD00047755
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2072073
—
OH
Enumeration date
06/16/2006
Last updated
07/27/2023
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