Mellstrom, Mark Stanley

Mellstrom, Mark Stanley is an sole proprietor health care provider with primary practice located at 701 Hewitt Blvd , Red Wing MN 55066-2848. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mellstrom, Mark Stanley can be contacted via phone (651) 267-5000.

Contact Information

Primary practice address
701 Hewitt Blvd Red Wing MN 55066-2848
Phone: (651) 267-5000
Fax: (651) 267-5964
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 27926 Minnesota

Profile Details

NPI number 1346302106
LBN Legal business name Mellstrom, Mark Stanley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2006
Last updated Jun 27th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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