MARK S MELLSTROM MD PA
Ambulatory Health at Icenic Trl, Lakeville, MN

License number
Minnesota 6208286
Category
Ambulatory Health
Type
Primary Care
Owner
Name: DR. MARK S. MELLSTROM M.D.
Title: OWNER
Phone: (952) 469-3393
Address
Address
20157 Icenic Trl, Lakeville, MN 55044
National Provider ID: 1629244686
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Mark S Mellstrom MD Pa

20157 Icenic Trl, Lakeville, MN 55044

Categories:
Clinics
Phone:
(952) 469-3393 (Phone)

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