Individual
MATTHEW MICHAEL JOHNSON
Active
Individual
MATTHEW MICHAEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
78037
MN
2084P0800X
Psychiatry Physician
DO-06400
IA
363A00000X
Physician Assistant
11487
MN
Other
Enumeration date
10/23/2013
Last updated
11/23/2025
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