KENNETH M JOHNSON M.D.
Individual Provider (NPI-1)
Active
Emergency Medicine
Provider Information
- NPI Number
1366486458- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 1726 SHAWANO AVE, GREEN BAY, WI, 543033216
- Phone
- (414) 290-6720
- Fax
- (414) 290-6755
Specialties & Taxonomies
Emergency Medicine
License: IL #036-078597
Emergency Medicine
Primary License: WI #53595-020