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Contact Information

MELANIE JOHNSON, DPM
4653 WHITE BEAR PKWY
WHITE BEAR LAKE, MN55110
 Phone: 651-426-3995
 Fax: 651-426-5626
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot

213ES0131X 48 Podiatry
Indicates primary specialty

NPI Profile & details for MELANIE JOHNSON · (Female)

NPI # 1053639732
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 05/05/2010
Last updated 10/23/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 939
Hospital affiliation(s)
  • ST JOSEPH'S HOSPITAL - (Acute Care)
    45 WEST 10TH STREET
    SAINT PAUL, MN 55102
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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