MICHAEL JEROME JOHNSON

WATERTOWN, SD
NPI1548204191
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy152W00000X Optometrist
(Licence: SD  503)
Additional Taxonomies152W00000X Optometrist
(Licence: MN  2428)
Enumeration Date2006-06-15
Last Update Date2007-07-08
Business Address
DR. MICHAEL JEROME JOHNSON O.D.
700 9TH AVE S
WATERTOWN, SD 57201
Phone number: 605-882-9424
Mailing Address
DR. MICHAEL JEROME JOHNSON O.D.
1511 HILLCREST DR N
WATERTOWN, SD 57201-5747
Phone number: 605-886-6696
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