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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TIFFANY J MELLANG

Active

TIFFANY J MELLANG is a Physician Assistant healthcare provider located in ROSEVILLE, Minnesota. NPI 1083196927 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · ROSEVILLE, MN

Registration Details

NPI Number
1083196927
Provider Type
Individual
Gender
Female
NPI Issued
Sep 6, 2018 (7.9109242566902 yrs)
Last Updated
Jul 20, 2021
License
1146349 (MN)

Practice Information

Address
2355 HIGHWAY 36 W STE 100
ROSEVILLE, MN, 551133905
Browse MN providers · Browse ZIP 55113
Phone
6512922000
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in ROSEVILLE, MN

Name Credential NPI
MR. ERIC SAGE SALMAN P.A.C 1366488587
MR. RANDAL NELSON P.A. 1558474197
JENNIFER A SCHMITZ PA 1679671218
JULIE ANNE ANDERSSON PA 1245396852
ERIN LYNN BENEDICT PA-C 1063569176
MICHELLE ROUBINEK PA-C 1548471295
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.