Gregory S Mellesmoen, CRNA
NPI #1689633919 in Maple Grove, Minnesota
Provider Information
- NPI Number
- 1689633919
- Entity Type
- Individual
- Name
- Gregory S Mellesmoen, CRNA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Mar 23, 2006
- Last Updated
- Jun 13, 2018
Practice Location
- Address
- 9645 GROVE CIR N STE 250
- City
- Maple Grove
- State
- Minnesota
- ZIP Code
- 55369
- Phone
- (763) 201-8191
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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