Individual provider · Type 1 NPI
Travis Marshall Johnson, DPM
Foot & Ankle Surgery Podiatrist · Staples, MN
NPI number
1346603859
Active
Practice location
49725 County 83
Staples, MN 56479-5280
Fax (218) 894-8767
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 1175 (MN) |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO4046 (FL) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1346603859
Travis Marshall Johnson, DPM's National Provider Identifier is 1346603859, issued on Apr 1, 2016. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Staples, MN. The record was last updated on Apr 18, 2024.