MEDICARE: WILLIAM H JOHNSTON 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
1	207Q00000X	Family Medicine Physician	48123	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427017789
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM H JOHNSTON MD

Provider Business Mailing Address
First Line	:	3000 WESTHILL DR
Second Line	:	SUITE 303
City	:	WAUSAU
State	:	WI
Zip	:	54401-3795
Country	:	US
Telephone Number	:	715-847-2304
Fax Number	:

Provider Business Practice Location Address
First Line	:	1881 HIGHWAY XX
Second Line	:
City	:	MOSINEE
State	:	WI
Zip	:	54455
Country	:	US
Telephone Number	:	715-355-4040
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2006
Last Update Date	:	07/08/2007

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