Johnson, Michael Timothy

Johnson, Michael Timothy is an individual health care provider with primary practice located at 2845 Greenbrier Rd , Green Bay WI 54311-6519. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Johnson, Michael Timothy can be contacted via phone (877) 229-0273.

Contact Information

Primary practice address
2845 Greenbrier Rd Green Bay WI 54311-6519
Fax: (920) 288-4863
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 77120-20 Wisconsin
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 29163 Minnesota
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 66406 Minnesota
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 29163 Minnesota

Profile Details

NPI number 1356685150
LBN Legal business name Johnson, Michael Timothy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2012
Last updated Apr 28th, 2026 - about 6 months ago

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.

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