Organization
MELLIN CHIROPRACTIC CARE CLINIC, P.C.
Active
Other names
Mellin Chiropractic Care
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES P. MELLIN II D.C. (OWNER)
(952) 921-0333
Entity
Organization
Contact information
Practice address
3300 EDINBOROUGH WAY, SUITE 108, EDINA, MN 55435-5923
(952) 921-0333
(952) 832-0766
Mailing address
3300 EDINBOROUGH WAY, SUITE 108, EDINA, MN 55435-5923
(952) 921-0333
(952) 832-0766
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
614
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4C878ME
BLUE CROSS OF MN
MN
Enumeration date
11/01/2006
Last updated
08/22/2020
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