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Individual
CARL MICHAEL MELLING
Active
Individual
CARL MICHAEL MELLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23352
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104099
MEDICA HEALTH PLANS
—
01
—
47A49ME
BLUE CROSS BLUE SHIELD
—
01
—
600863
ARAZ GRP AMERICA'S PPO
—
01
—
68793600
MEDICAL ASSISTANCE
—
01
—
889003
PREFERRED ONE
—
01
—
938031
FIRST HEALTH PLAN
—
01
—
HP17772
HEALTH PARTNERS
—
Enumeration date
11/07/2005
Last updated
05/21/2013
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