Individual
MATTHEW D JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 551-7020
Mailing address
26901 BEAUMONT BLVD, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
4301099123
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558658872
—
MI
Enumeration date
07/07/2011
Last updated
05/20/2025
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