IndividualActive
Colin Johnson
NPI 1346773512 · Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · Appleton, WI
Provider details
- NPI number
- 1346773512
- Entity type
- Individual
- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- MD-49494 (IA)
Specialties & taxonomies
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianPrimary207VF0040XLicense 70977 (WI)
Allopathic & Osteopathic Physicians
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician207VF0040XLicense MD-49494 (IA)
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
3232 N Ballard Rd Ste 100
Appleton, WI 54911-8804
Phone: (920) 729-7105
Fax: (920) 739-2609
Approximate (ZIP-level) locationGet directions
Mailing address
3232 N Ballard Rd Ste 100
Appleton, WI 54911-8804
Registry dates
- Enumerated
- 2017-04-05
- Last updated
- 2025-10-21
- Certified
- 2025-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.