Mark S Mellstrom MD PA
Mark S Mellstrom MD PA is a Primary Care Clinic/Center in Lakeville, Minnesota. Licensed in Minnesota. Registered with an NPI since 2008.
- Licensed in
- MN
- In the registry since
- 2008
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
20157 Icenic TrlLakeville, MN 55044
Phone: (952) 469-3393
Fax: (952) 469-3399
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X · Licence 6208286 (MN) |
|---|
Record details
| NPI number | 1629244686 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mark Mellstrom — Owner · (952) 469-3393 |
| Other names | Lakeville Family Practice |
| NPI enumerated | April 30, 2008 |
| Last updated in NPPES | April 30, 2008 |
| Mailing address | 20157 Icenic Trail, Lakeville, MN 55044 |
Other providers in Lakeville
-
Fairview Clinics
18580 Joplin Ave, Lakeville, MN 55044-4218 · (952) 892-9555
-
Kids First Pediatrics, Ltd
17504 Dodd Blvd, Lakeville, MN 55044-5268 · (952) 997-2572
-
Northfield Hospital
9974 214th St W, Lakeville, MN 55044-1913 · (952) 469-0500