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Individual

MARILYN F.M. JOHNSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
11133 DUNN RD, DEPT. OF PATHOLOGY, SAINT LOUIS, MO 63136-6119
(314) 653-5630
(314) 653-4099
Mailing address
PO BOX 144333, ORLANDO, FL 32814-4333
(407) 422-9831
(407) 648-2065

Taxonomy

Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
R7131
MO
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
IL

Other

Enumeration date
11/15/2005
Last updated
04/20/2008
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