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NPI Code Detail

MEDICARE: DANA M JOHNSON MD

MEDICARE: DANA M JOHNSON MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician51542-20WI

General Provider Information

NPI Number : 1518903897
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANA M JOHNSON MD
Provider Business Mailing Address
First Line : 202 S PARK ST
Second Line :
City : MADISON
State : WI
Zip : 53715-1507
Country : US
Telephone Number : 608-417-6000
Fax Number :
Provider Business Practice Location Address
First Line : 3102 MERITER WAY
Second Line :
City : MADISON
State : WI
Zip : 53719-5833
Country : US
Telephone Number : 608-417-8388
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2006
Last Update Date : 04/25/2013

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Directions to “ DANA M JOHNSON MD” Practice Location

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