| Doctor Name: | DR. MELANIE JOHNSON |
| NPI Number: | 1053639732 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.P.M. |
| License Number: | 003641 |
| Business Practice Address: | 3733 Park East Dr Suite 240 Beachwood, OH - 441224338 |
| Business Phone Number: | 2162451290 |
| Business Fax Number: | 8665714884 |
| Mailing Address: | 3733 Park East Dr, Suite 240 BEACHWOOD |
| State: | OH |
| Postal Code: | 441224338 |
| Phone Number: | 2162451290 |
| Fax Number: | 8665714884 |
| NPI Enumeration Date: | 05/05/2010 |
| NPI Last Update Date: | 06/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0131X |
| License Number: | 003641 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot Surgery |
| Taxonomy Definition: | |