GREGORY A JOHNSON

KAUKAUNA CLINIC, S.C.

Dr GREGORY A JOHNSON is a male medical professional, specializing in Family Medicine. He graduated in 1986 from University Of Minnesota Medical School.

Contact

KAUKAUNA CLINIC, S.C.

305 E 12TH ST
KAUKAUNA
WI
541302865

Tel: 9207664656

GREGORY A JOHNSON Information

Npi 1578529863
Pac Id 7214937515
Professional Enrollment Id I20100524000033
Last Name JOHNSON
First Name GREGORY
Middle Name A
Suffix
Gender M
Credential
Medical School Name UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year 1986
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name KAUKAUNA CLINIC, S.C.
Group Practice Pac Id 5597765891
Number Of Group Practice Members 10
Line 1 Street Address 305 E 12TH ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City KAUKAUNA
State WI
Zip Code 541302865
Phone Number 9207664656
Hospital Affiliation Ccn 1 520160
Hospital Affiliation Lbn 1 THEDACARE REGIONAL MEDICAL CENTER - APPLETON INC
Hospital Affiliation Ccn 2 520045
Hospital Affiliation Lbn 2 THEDA CLARK MEDICAL CENTER
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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