Individual
MADELINE MELLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4140 RICHARD AVE STE 200, DULUTH, MN 55811-3309
(218) 514-5230
Mailing address
4140 RICHARD AVE STE 200, DULUTH, MN 55811-3309
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/21/2021
Last updated
06/21/2021
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