Dr Matthew Christopher Johnson, MD | |
4656 40th Ave S, Fargo, ND 58104-4397 | |
(701) 234-8860 | |
Not Available |
Full Name | Dr Matthew Christopher Johnson |
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Gender | Male |
Speciality | Dermatology |
Location | 4656 40th Ave S, Fargo, North Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679157630 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 2023-01305 (North Carolina) | Primary |
Entity Name | Wake Forest University Health Sciences |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436 |
Mailing Address | Practice Location Address |
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Dr Matthew Christopher Johnson, MD 4656 40th Ave S, Fargo, ND 58104-4397 Ph: (701) 234-8860 | Dr Matthew Christopher Johnson, MD 4656 40th Ave S, Fargo, ND 58104-4397 Ph: (701) 234-8860 |
Dong Kim, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1702 University Dr S, Fargo, ND 58103 Phone: 701-364-3300 | |
Mrs. Rachel C Ness, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3173 43rd Street S Ste A, Fargo, ND 58104 Phone: 701-478-8780 Fax: 701-478-8781 | |
Kimberly Rae Kelly, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1702 University Dr S, Fargo, ND 58103 Phone: 701-364-3300 Fax: 701-364-8906 | |
David B Flach, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 4656 40th Ave S, Fargo, ND 58104 Phone: 701-234-8860 Fax: 701-234-8924 | |
Amanda Beehler, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1702 University Dr S, Fargo, ND 58103 Phone: 701-364-3300 Fax: 701-364-8906 | |
Dr. Thomas J Matzke, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4656 40th Ave S, Fargo, ND 58104 Phone: 701-234-8860 |