Individual
MARY HOBBS MELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
18733
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
063J0ME
BLUE CROSS
MN
01
—
1201419
MEDICA
MN
01
—
153449
UCARE
MN
01
—
CP9041014218
PREFERRED ONE
MN
Enumeration date
02/02/2006
Last updated
07/09/2007
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