Individual
DR. JOHANNA KRISTEN FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
45 10TH ST W, SAINT PAUL, MN 55102-1062
(651) 232-3000
(651) 326-3626
Mailing address
2945 HAZELWOOD ST STE 200, MAPLEWOOD, MN 55109-1243
(651) 471-9400
(651) 326-3626
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
65538
MN
208600000X
Surgery Physician
65538
MN
Other
Enumeration date
04/02/2014
Last updated
10/08/2021
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