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 Family Medicine organization located in LAKEVILLE, Minnesota. NPI 1639340409 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · LAKEVILLE, MN
Registration Details
- NPI Number
- 1639340409
- Provider Type
- Organization
- NPI Issued
- Mar 19, 2008 (18.44727382063 yrs)
- Last Updated
- Apr 23, 2008
- License
-
27926 (MN)
Practice Information
- Address
-
20157 ICENIC TRLLAKEVILLE, MN, 550447708Browse MN providers · Browse ZIP 55044
- Phone
- 9524693393
- Fax
- 9524693399
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Organizations in LAKEVILLE, MN
| Name | NPI |
|---|---|
| ALLINA HEALTH SYSTEM | 1407546872 |
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.