Individual
DR. TANYA N. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
8300 HOUGH AVENUE, CLEVELAND, OH 44103
(216) 231-7700
Mailing address
8300 HOUGH AVENUE, CLEVELAND, OH 44103
(216) 231-7700
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36003202
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2197653
—
OH
Enumeration date
10/02/2006
Last updated
11/20/2015
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