Individual
MATTHEW JOHN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2200 UNIVERSITY AVE W STE 160, SAINT PAUL, MN 55114-1841
(651) 917-3634
(651) 917-3620
Mailing address
20599 HAMPSHIRE WAY, LAKEVILLE, MN 55044-4671
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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