IndividualActive
Gilbert Johnson, PA
NPI 1356303358 · Surgical Physician Assistant · Altoona, WI
Provider details
- NPI number
- 1356303358
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 218-023 (WI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1304 Lake Rd
Altoona, WI 54720-1849
Phone: (715) 832-0992
Approximate (ZIP-level) locationGet directions
Mailing address
1304 Lake Rd
Altoona, WI 54720-1849
Registry dates
- Enumerated
- 2006-04-05
- Last updated
- 2011-08-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.