Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kent E Mellerstig, MD

Individual provider Plastic Surgery Physician · NPI 1649253659

Dr. Kent E Mellerstig, MD is a Plastic Surgery Physician in Santa Rosa, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1043 Slate Dr
Santa Rosa, CA 95405-8841
Phone: (707) 527-7211
Fax: (707) 538-7044
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence G18760 (CA)

Record details

NPI number1649253659
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 23, 2005
Last updated in NPPESOctober 4, 2011

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