Individual
MARINA NICOLE MELBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
909 FULTON ST SE, MINNEAPOLIS, MN 55455-4800
(612) 273-8383
Mailing address
1201 104TH AVE W, DULUTH, MN 55808-1724
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15371
MN
Other
Enumeration date
06/16/2023
Last updated
07/26/2025
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