Individual
DR. MICHAEL V JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2110 12TH ST, HARLAN, IA 51537-2056
(712) 755-2150
(712) 755-7555
Mailing address
2110 12TH ST, HARLAN, IA 51537-2056
(712) 755-2150
(712) 755-7555
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
01898
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1284455
—
IA
Enumeration date
11/01/2006
Last updated
05/21/2008
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