Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK STANLEY MELLSTROM, M.D.
Active Sole ProprietorDR. MARK STANLEY MELLSTROM, M.D. is a Family Medicine healthcare provider located in RED WING, Minnesota. NPI 1346302106 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · RED WING, MN
Registration Details
- NPI Number
- 1346302106
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 15, 2006 (19.480660183668 yrs)
- Last Updated
- Feb 5, 2025
- License
-
27926 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
701 HEWITT BLVDRED WING, MN, 550662848Browse MN providers · Browse ZIP 55066
- Phone
- 6512675000
- Fax
- 6512675964
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in RED WING, MN
| Name | Credential | NPI |
|---|---|---|
| DR. STEPHANIE LYNN ERICKSON | M.D. | 1952395774 |
| DR. BRADLEY L HOUSTON | MD | 1275529240 |
| THOMAS JOSEPH WITT | M.D. | 1194701755 |
| JOHN L GOEPPINGER | MD | 1164497574 |
| BRIAN TIMOTHY MALYON | MD | 1629043070 |
| JOHN J WALSH | MD | 1437124393 |
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.