NPI 1366403743

Michael a Johnson, MD

Practitioner Pediatrics Physician West Allis, WI

Practice location

Address: 801 S 70th St, West Allis, WI 53214-3147
Phone: (414) 773-6600
Fax: (414) 773-6656
Mailing address: 4425 N Port Washington Rd Attn: Clinic Credentialing, Glendale, WI 53212-1082

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 38024 (WI)

Other Pediatrics providers in Wisconsin →

Registry record

NPI: 1366403743
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Mar 2006
Record last updated: 18 Jun 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.