Johnson, Misty L

Johnson, Misty L is an individual health care provider with primary practice located at 210 Wisconsin American Dr , Fond Du Lac WI 54937-2999. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Johnson, Misty L can be contacted via phone (920) 907-7500.

Contact Information

Primary practice address
210 Wisconsin American Dr Fond Du Lac WI 54937-2999
Phone: (920) 907-7500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35760 Wisconsin
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 35760 Wisconsin
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 35760 Wisconsin

Profile Details

NPI number 1578557146
LBN Legal business name Johnson, Misty L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Jul 15th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1578557146 NPPES
Wisconsin MEDICAID 32249300

Popular Providers