Individual
PAUL JAN MELICHAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5512 BROOK DRIVE, EDINA, MN 55439-1349
(952) 941-3136
Mailing address
5512 BROOK DRIVE, EDINA, MN 55439-1349
(952) 941-3136
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
18.458
MN
Other
Enumeration date
04/25/2012
Last updated
04/25/2012
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