Nathan Johnson, PA-C

NPI #1629701198 in Portage, Wisconsin

Provider Information

NPI Number: 1629701198
Entity Type: Individual
Name: Nathan Johnson, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jul 2, 2022
Last Updated: Dec 28, 2024

Practice Location

Address: 2817 NEW PINERY RD
City: Portage
State: Wisconsin
ZIP Code: 53901-9240
Phone: (608) 742-4131

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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