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

Dr. Mark Stanley Mellstrom, MD

Individual provider Family Medicine Physician · NPI 1346302106

Dr. Mark Stanley Mellstrom, MD is a Family Medicine Physician in Red Wing, Minnesota. Practices as a sole proprietor and works from 2 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2006
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

701 Hewitt Blvd
Red Wing, MN 55066-2848
Phone: (651) 267-5000
Fax: (651) 267-5964
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 20157 Icenic Trl, Lakeville, MN 55044-7708 — (952) 469-3393

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 27926 (MN)

Record details

NPI number1346302106
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 15, 2006
Last updated in NPPESFebruary 5, 2025
Certification dateFebruary 5, 2025
Mailing address200 1st St Sw, Rochester, MN 55905-0001

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