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Kenneth M Johnson, MD
Emergency Medicine Physician in Green Bay, Wisconsin
NPI 1366486458

Kenneth M Johnson is a Emergency Medicine Physician based in Milwaukee, WI. Kenneth M Johnson practices in Green Bay, WI and has the professional credentials of MD. The NPI Number for Kenneth M Johnson is 1366486458 and holds a License No. 036-078597 (Wisconsin).

The current practice location address for Kenneth M Johnson is 1726 Shawano Ave, Green Bay, WI and can be reached out via phone at 414-290-6720 and via fax at 414-290-6755.

Location: 1726 Shawano Ave, Green Bay, WI, 53202-4815
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366486458
Provider Name
Kenneth M Johnson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1726 Shawano Ave, Green Bay, WI, 53202-4815
Phone Number
414-290-6720
Fax Number
414-290-6755
Provider Enumeration Date
06/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
930106598 01 WI MEDICARE RAILROAD
930080950 01 WI MEDICARE RAILROAD
104161654 05 MI
010056900 01 WI MEDICARE RAILROAD
930079989 01 WI MEDICARE RAILROAD
32019000 05 WI
930070593 01 WI MEDICARE RAILROAD
930077765 01 WI MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
1726 Shawano Ave
City
Green Bay
State
Wisconsin
Zip
54303-3216
Phone Number
414-290-6720
Fax Number
414-290-6755
person
Provider Business Mailing Address Details
Address
1726 Shawano Ave
City
Green Bay
State
Wisconsin
Zip
54303-3216
Phone Number
414-290-6720
Fax Number
414-290-6755
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
036-078597 (Illinois)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
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