Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Dale Alan Johnson, MD

Individual provider Family Medicine Physician · NPI 1447211404

Dr. Dale Alan Johnson, MD is a Family Practice in Oconomowoc, Wisconsin. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 1978, 48 years ago. Practices with Prohealth Medical Group Inc, a 472-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
48
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
WI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

820 Summit Ave Prohealth Care Medical Associates Fp
Oconomowoc, WI 53066-3973
Phone: (262) 567-0223
Fax: (262) 567-6380
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 22410 (WI)

Record details

NPI number1447211404
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 30, 2006
Last updated in NPPESJanuary 12, 2012
Mailing address820 Summit Ave, Prohealth Care Medical Associates Fp, Oconomowoc, WI 53066-3973

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 1978 (48 years in practice)
Group practice Prohealth Medical Group Inc — 472 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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