Individual
MATTHEW MICHAEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
520 OSBORNE RD NE STE 210, FRIDLEY, MN 55432-2718
(763) 236-3800
(763) 236-3821
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000
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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