Individual
DR. MATTHEW JAMES JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
9576 HWY 70, MINOCQUA, WI 54548-9067
(715) 358-1264
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
(715) 261-8665
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2754
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38619000
—
WI
Enumeration date
09/21/2006
Last updated
02/15/2024
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