Tiffany J Mellang

NPI #1083196927 in Roseville, Minnesota

Provider Information

NPI Number: 1083196927
Entity Type: Individual
Name: Tiffany J Mellang
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Sep 6, 2018
Last Updated: Jul 20, 2021

Practice Location

Address: 2355 HIGHWAY 36 W STE 100
City: Roseville
State: Minnesota
ZIP Code: 55113-3905
Phone: (651) 292-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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