KENNETH M JOHNSON

GREEN BAY, WI
NPI1366486458
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: WI  53595-020)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: IL  036-078597)
Enumeration Date2006-06-16
Last Update Date2021-12-20
Business Address
KENNETH M JOHNSON M.D.
1726 SHAWANO AVE
GREEN BAY, WI 54303-3216
Phone number: 414-290-6720
Mailing Address
KENNETH M JOHNSON M.D.
111 E WISCONSIN AVE
MILWAUKEE, WI 53202-4815
Phone number: 414-290-6720