Mark S Mellstrom, Md, Pa - Primary Care in Lakeville, MN

Mark S Mellstrom, Md, Pa is a primary clinic (Family Medicine) in Lakeville, Minnesota. The current practice location for Mark S Mellstrom, Md, Pa is 20157 Icenic Trl, Lakeville, Minnesota. For appointments, you can reach them via phone at (952) 469-3393. The mailing address for Mark S Mellstrom, Md, Pa is 20157 Icenic Trl, Lakeville, Minnesota and phone number is (952) 469-3393.

Mark S Mellstrom, Md, Pa is licensed to practice in Minnesota (license number 27926) and its NPI number is 1639340409. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (952) 469-3393.

Contact Information

Mark S Mellstrom, Md, Pa
20157 Icenic Trl
Lakeville
MN 55044-7708
(952) 469-3393
(952) 469-3399

Primary Care Clinic Profile

Full NameMark S Mellstrom, Md, Pa
SpecialityFamily Medicine
Location20157 Icenic Trl, Lakeville, Minnesota
Authorized Official Name and PositionMark Stanley Mellstrom (PRESIDENT)
Authorized Official Contact9524693393
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mark S Mellstrom, Md, Pa
20157 Icenic Trl
Lakeville
MN 55044-7708

Ph: (952) 469-3393
Mark S Mellstrom, Md, Pa
20157 Icenic Trl
Lakeville
MN 55044-7708

Ph: (952) 469-3393

NPI Details:

NPI Number1639340409
Provider Enumeration Date03/19/2008
Last Update Date04/23/2008

Medical Identifiers

Medical identifiers for Mark S Mellstrom, Md, Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639340409NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 27926 (Minnesota)Primary

News Archive

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› Verified 1 days ago


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