person
Dr. Tad Mark Johnson, MD
Allergy Physician in Janesville, Wisconsin
NPI 1659339919

Tad Mark Johnson is an Allergy Physician based in Janesville, WI and is specialized in Allergy. Tad Mark Johnson practices in Janesville, WI and has the professional credentials of MD. The NPI Number for Tad Mark Johnson is 1659339919 and holds a License No. 25307 (Wisconsin).

The current practice location address for Tad Mark Johnson is 3524 E Milwaukee St, Janesville, WI and can be reached out via phone at 608-756-7100 and via fax at 608-756-4700.

Location: 3524 E Milwaukee St, Janesville, WI, 53546-1626
person
Provider Profile Details
NPI Number
1659339919
Provider Name
Tad Mark Johnson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3524 E Milwaukee St, Janesville, WI, 53546-1626
Phone Number
608-756-7100
Fax Number
608-756-4700
Provider Enumeration Date
05/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
JOHNSTAD 01 WI MERCYCARE INSURANCE
1659339919 01 WI BCBSWI
1659339919 05 WI
30661900 05 WI
institution
Provider Business Practice Location Address Details
Address
3524 E Milwaukee St
City
State
Zip
53546-1626
Phone Number
608-756-7100
Fax Number
608-756-4700
person
Provider Business Mailing Address Details
Address
3524 E Milwaukee St
City
State
Zip
53546-1626
Phone Number
608-756-7100
Fax Number
608-756-4700
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Allergy & Immunology
Speciality
Allergy
Taxonomy
License No.
25307 (Wisconsin)
Definition
Definition to come...
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