| NPI | 1245800143 |
|---|---|
| Doing Business As | DR MARY JOHNSON |
| Entity Type | Organization |
| Authorized Contact | MARY JOHNSON Optometrist 507-261-1236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2021-07-01 |
| Last Update Date | 2021-07-01 |