Tad Mark Johnson is a Allergy in Janesville, Wisconsin. Tad Mark Johnson practices all healthcare services and medical treatments related to Allergy. The NPI Number for Tad Mark Johnson is 1659339919. The last update date is 2012-09-06.
Tad Mark Johnson's current location address is 3524 E Milwaukee St, Janesville, Wisconsin. You can contact this provider via phone number 6087567100 and fax number 6087564700. The mailing address for Tad Mark Johnson is 3524 E Milwaukee St, Janesville, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tad Mark Johnson |
|---|---|
| Address | 3524 E Milwaukee St, Janesville, Wisconsin |
| Phone Number | 6087567100 |
| Fax Number | 6087564700 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1659339919 |
|---|---|
| Provider Enumeration Date | 2006-05-03 |
| Last Updated Date | 2012-09-06 |
Provider Mailing Address Detail
| Address | 3524 E Milwaukee St |
|---|---|
| City | Janesville |
| State | Wisconsin (WI) |
| Post Code | 535461626 |
| Phone Number | 6087567100 |
| Fax Number | 6087564700 |
Provider's Primary Taxonomy Detail
| Speciality | Allergy |
|---|---|
| Taxonomy | 207Ka0200X |
| Licence No | 25307 |
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Definition: A physician who specializes in the diagnosis, treatment, and management of allergies. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| JOHNSTAD | WI | MERCYCARE INSURANCE | |
| 1659339919 | WI | BCBSWI | |
| 1659339919 | WI | -- | |
| 30661900 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Tad Mark Johnson by the Centers for Medicare & Medicaid Services?
The Tad Mark Johnson has been issued the NPI (National Provider Identifier) 1659339919 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Tad Mark Johnson is physically located?
The Tad Mark Johnson is situated at the following address: 3524 E Milwaukee St, Janesville, WI 535461626.
What is Tad Mark Johnson's area of expertise and its corresponding taxonomy classification?
The Tad Mark Johnson's field of specialization is Allergy, and it falls under the taxonomy code 207Ka0200X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1659339919 assigned to Tad Mark Johnson?
The Tad Mark Johnson was issued its 1659339919 on 2006-05-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Tad Mark Johnson last refreshed?
The information related to the Tad Mark Johnson, including its address, specialty, and other relevant details, was last updated on 2012-09-06.