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NPI Profile for BREONTE N JOHNSON in MILWAUKEE, WI.
An outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Critical Access Hospital |
261QC0050X |
| NPI Number | 1780465690 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 10/09/2023 | |
| Last updated | 10/09/2023 - About 3 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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BREONTE N JOHNSON
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BREONTE N JOHNSON