Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK S MELLSTROM MD PA
Active OrganizationMARK S MELLSTROM MD PA is a Primary Care Clinic organization located in LAKEVILLE, Minnesota. NPI 1629244686 is currently active in the NPPES registry. Verify at CMS.
Primary Care Clinic · LAKEVILLE, MN
Registration Details
- NPI Number
- 1629244686
- Provider Type
- Organization
- NPI Issued
- Apr 30, 2008 (18.325619097448 yrs)
- Last Updated
- Apr 30, 2008
- License
-
6208286 (MN)
Practice Information
- Address
-
20157 ICENIC TRAILLAKEVILLE, MN, 55044Browse MN providers · Browse ZIP 55044
- Phone
- 9524693393
- Fax
- 9524693399
- Primary Specialty
-
Primary Care Clinic
261QP2300X
Other Primary Care Clinic Organizations in LAKEVILLE, MN
| Name | NPI |
|---|---|
| NORTHFIELD HOSPITAL | 1669685608 |
| FAIRVIEW CLINICS | 1851583637 |
| KIDS FIRST PEDIATRICS, LTD | 1447562491 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.