Individual
DR. DOUGLAS NEAL MELLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2736
(320) 656-7020
(320) 255-5943
Mailing address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2736
(320) 656-7020
(320) 255-5943
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
20A8396
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
68816
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX83960
—
CA
Enumeration date
08/16/2006
Last updated
03/26/2021
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