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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. DALE ALAN JOHNSON, MD

Active

DR. DALE ALAN JOHNSON, MD is a Family Medicine healthcare provider located in OCONOMOWOC, Wisconsin. NPI 1447211404 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · OCONOMOWOC, WI

Registration Details

NPI Number
1447211404
Provider Type
Individual
Gender
Male
NPI Issued
Mar 30, 2006 (20.333081105784 yrs)
Last Updated
Jan 12, 2012
License
22410 (WI)

Practice Information

Address
820 SUMMIT AVE
PROHEALTH CARE MEDICAL ASSOCIATES FP
OCONOMOWOC, WI, 530663973
Browse WI providers · Browse ZIP 53066
Phone
2625670223
Fax
2625676380
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in OCONOMOWOC, WI

Name Credential NPI
KYLE J KIRCHER M.D. 1639155872
JOHN W. GUCCIARDI M.D. 1760417430
DR. THOMAS F WINTERS MD 1568579449
DR. MICHAEL LOYAL CUMMENS M.D. 1417014531
PATRICK O'MALLEY D.O. 1891839759
DR. KRISTEN ANN VENTO D.O. 1225205255
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.