Dr. Melanie Johnson
Foot Surgery
4653 White Bear Pkwy
White Bear Lake
, Minnesota 55110
Dr. Melanie Johnson
Foot Surgery
4653 White Bear Pkwy
White Bear Lake
, Minnesota 55110
(651) 426-5626
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About
Features
Specialties
- Foot Surgery
Languages spoken
- English
Location
First Address
- Dr. Melanie Johnson
- 4653 White Bear Pkwy
- White Bear Lake, MN
- Zip : 55110-3300
- Fax : (651) 426-5626
- Phone : (651) 426-3995
Second Address
- Dr. Melanie Johnson
- 4653 White Bear Pkwy
- White Bear Lake, MN
- Zip : 55110
- Fax : (651) 426-5626
- Phone : (651) 426-3995
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0131X | Foot Surgery | 939 | MN |
National Provider Identifier
| NPI | 1053639732 |
|---|---|
| Provider Name | Dr. Melanie Johnson |
| First Address | White Bear Lake, MN 55110-3300 |
| Second Address | White Bear Lake, MN 55110 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/05/2010 |
| Last Update Date | 23/10/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.