MARK S MELLSTROM, MD, PA

Family Medicine

Active Organization
NPI: 1639340409

Practice Address

20157 ICENIC TRL
Lakeville, MN 55044

Phone: (952) 469-3393

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes 27926 (MN)

Frequently Asked Questions

NPI 1639340409 is the National Provider Identifier for MARK S MELLSTROM, MD, PA, a Family Medicine provider located in Lakeville, MN. This NPI was enumerated on March 19, 2008.

Quick Facts

NPI
1639340409
Type
Organization
Enumerated
Mar 19, 2008
Last Updated
Apr 23, 2008

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