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Travis Marshall Johnson, DPM
Foot & Ankle Surgery Podiatrist in Staples, Minnesota
NPI 1346603859

Travis Marshall Johnson is a Foot & Ankle Surgery Podiatrist based in Staples, MN and is specialized in Foot & Ankle Surgery. Travis Marshall Johnson practices in Staples, MN and has the professional credentials of DPM. The NPI Number for Travis Marshall Johnson is 1346603859 and holds a License No. (Minnesota).

The current practice location address for Travis Marshall Johnson is 49725 County 83, Staples, MN and can be reached out via phone at 218-894-1515 and via fax at 218-894-8767.

Location: 49725 County 83, Staples, MN, 56479-5280
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346603859
Provider Name
Travis Marshall Johnson
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
49725 County 83, Staples, MN, 56479-5280
Phone Number
218-894-1515
Fax Number
218-894-8767
Provider Enumeration Date
04/01/2016
Last Update Date
05/18/2024
institution
Provider Business Practice Location Address Details
Address
49725 County 83
City
Staples
State
Minnesota
Zip
56479-5280
Phone Number
218-894-1515
Fax Number
218-894-8767
person
Provider Business Mailing Address Details
Address
49725 County 83
City
Staples
State
Minnesota
Zip
56479-5280
Phone Number
218-894-1515
Fax Number
218-894-8767
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
1175 (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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