Jacob Johnson, D.O.

NPI #1689055154 in Hudson, Wisconsin

Provider Information

NPI Number: 1689055154
Entity Type: Individual
Name: Jacob Johnson, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Emergency Medicine
Credential: D.O.
Enumeration Date: Jun 10, 2015
Last Updated: Jun 2, 2025

Practice Location

Address: 405 STAGELINE RD
City: Hudson
State: Wisconsin
ZIP Code: 54016-7848
Phone: (715) 531-6000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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