Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TAD MARK JOHNSON, MD
ActiveDR. TAD MARK JOHNSON, MD is a Allergy healthcare provider located in JANESVILLE, Wisconsin. NPI 1659339919 is currently active in the NPPES registry. Verify at CMS.
Allergy · JANESVILLE, WI
Registration Details
- NPI Number
- 1659339919
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 3, 2006 (20.093379808551 yrs)
- Last Updated
- Sep 6, 2012
- License
-
25307 (WI)
Practice Information
- Address
-
3524 E MILWAUKEE STJANESVILLE, WI, 535461626Browse WI providers · Browse ZIP 53546
- Phone
- 6087567100
- Fax
- 6087564700
- Primary Specialty
-
Allergy
207KA0200X
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.