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Individual

MATTHEW ROBERT JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, MPH

Contact information

Practice address
575 N SIOUX POINT RD, DAKOTA DUNES, SD 57049
(605) 217-2667
(605) 217-2900
Mailing address
575 N SIOUX POINT RD, DAKOTA DUNES, SD 57049-5312
(605) 217-2667
(605) 217-2900

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
37278
IA
207T00000X
Neurological Surgery Physician
4526
NE
207T00000X
Neurological Surgery Physician
Primary
7024
SD

Other

Enumeration date
02/20/2007
Last updated
07/30/2018
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