Individual
GRACE ELIZABETH MELBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 273-8383
Mailing address
516 DELAWARE ST SE # 12-100, MINNEAPOLIS, MN 55455-0356
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15033
MN
Other
Enumeration date
07/23/2024
Last updated
09/13/2024
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