| Johnson Medical Clinic | |
|
N8434 County Rd S Algoma WI 54201-9515 | |
| (920) 487-5635 | |
| Not Available |
| Full Name | Johnson Medical Clinic |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | N8434 County Rd S, Algoma, Wisconsin |
| Authorized Official Name and Position | Carla A Johnson (OWNER AND SOLE PHYSICIAN) |
| Authorized Official Contact | 9204875635 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Johnson Medical Clinic N8434 County Rd S Algoma WI 54201-9515 Ph: (920) 487-5635 | Johnson Medical Clinic N8434 County Rd S Algoma WI 54201-9515 Ph: (920) 487-5635 |
| NPI Number | 1962623280 |
|---|---|
| Provider Enumeration Date | 05/02/2007 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962623280 | NPI | - | NPPES |
| HO35675 | Other | WI | WISCONSIN CORPORATE NUMBE |
| 30094500 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
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