DR. Mark Stanley Mellstrom, M.D.

NPI #1346302106 in Red Wing, Minnesota

Provider Information

NPI Number: 1346302106
Entity Type: Individual
Name: DR. Mark Stanley Mellstrom, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Dec 15, 2006
Last Updated: Feb 5, 2025

Practice Location

Address: 701 HEWITT BLVD
City: Red Wing
State: Minnesota
ZIP Code: 55066-2848
Phone: (651) 267-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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