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Matthew Johnson
NPI 1992183057 · on the registry since 2015
Practice
- Address
- 18220 San Lucas Ct
Brookfield, WI 53045 - Phone
- (262) 993-1383
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 390200000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-05-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin