Individual
DR. MARK STANLEY MELLSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 HEWITT BLVD, RED WING, MN 55066-2848
(651) 267-5000
(651) 267-5964
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(651) 267-5000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27926
MN
Other
Enumeration date
12/15/2006
Last updated
02/05/2025
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