Susan Kees Johnson in Cottage Grove - Medical
Susan Kees Johnson - NPI 1467410902
Susan Kees Johnson is a Medical in Cottage Grove, Wisconsin. Susan Kees Johnson practices all healthcare services and medical treatments related to Medical. The NPI Number for Susan Kees Johnson is 1467410902. The last update date is 2020-11-02.
Susan Kees Johnson's current location address is 251 E Cottage Grove Rd, Cottage Grove, Wisconsin. You can contact this provider via phone number 6088393515. The mailing address for Susan Kees Johnson is 251 E Cottage Grove Rd, Cottage Grove, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Kees Johnson |
|---|---|
| Address | 251 E Cottage Grove Rd, Cottage Grove, Wisconsin |
| Phone Number | 6088393515 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1467410902 |
|---|---|
| Provider Enumeration Date | 2006-05-03 |
| Last Updated Date | 2020-11-02 |
Provider Mailing Address Detail
| Address | 251 E Cottage Grove Rd |
|---|---|
| City | Cottage Grove |
| State | Wisconsin (WI) |
| Post Code | 535279619 |
| Phone Number | 6088393515 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 707-023 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7217 | WI | DEAN HEALTH INSURANCE |
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What is the unique 10-digit identifier code issued to Susan Kees Johnson by the Centers for Medicare & Medicaid Services?
The Susan Kees Johnson has been assigned the NPI (National Provider Identifier) 1467410902 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Susan Kees Johnson located?
The Susan Kees Johnson is located at 251 E Cottage Grove Rd, Cottage Grove, WI 535279619.
What is Susan Kees Johnson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Susan Kees Johnson is Medical, and the taxonomy code that categorizes this field of expertise is 363Am0700X.
On what date did the Susan Kees Johnson receive its 1467410902 assignment from the Centers for Medicare & Medicaid Services?
The Susan Kees Johnson was assigned its 1467410902 by the Centers for Medicare & Medicaid Services on 2006-05-03.
As of what date were the details related to Susan Kees Johnson most recently updated or revised?
The information pertaining to Susan Kees Johnson, including its address, specialty, and other relevant details, was last updated or revised on 2020-11-02.
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