| NPI | 1467533851 |
|---|---|
| Other Name | MELISSA JEANNE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MN 49435) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 49435) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: WI 44743020) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: FL ME121573) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: AZ 49452) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IA MD-41963) | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2020-08-19 |