Individual
DR. MELISSA M ENSIGN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
251 COUNTY ROAD 120, SAINT CLOUD MEDICAL GROUP, SAINT CLOUD, MN 56303-4872
(320) 529-4731
Mailing address
251 COUNTY ROAD 120, SAINT CLOUD MEDICAL GROUP, SAINT CLOUD, MN 56303-4872
(320) 202-8949
(320) 202-0756
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
53599
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134377989
—
MN
Enumeration date
09/05/2008
Last updated
12/27/2011
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