Individual
DR. MALLORY JO YELENICH-HUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11850 BLACKFOOT ST NW STE 1, COON RAPIDS, MN 55433-2578
(763) 236-9000
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
67451
MN
Other
Enumeration date
04/01/2014
Last updated
08/15/2022
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