Individual
TINA M MELANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1001 E 21ST ST, STE. 300, SIOUX FALLS, SD 57105-1033
(605) 322-5800
(605) 322-5801
Mailing address
401 9TH NWAVE, WATERTOWN, SD 57201-1548
(605) 882-5455
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
5105
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0040703
BLUE CROSS
SD
05
—
0560631
—
IA
05
—
12903
—
ND
01
—
1706711
ARAZ/ AMERICA'S PPO
SD
01
—
237914
MIDLANDS CHOICE
SD
01
—
28925
SANFORD HEALTH PLAN
SD
01
—
300T3ME
BLUE CROSS
MN
01
—
3100148
MEDICA
SD
01
—
390008566
RR MEDICARE
SD
01
—
406751032068
PREFERRED ONE
SD
05
—
46022474344
—
NE
01
—
5105
DAKOTACARE
SD
01
—
57105P005
WPS TRICARE
SD
05
—
6630830
—
SD
05
—
891490700
—
MN
01
—
HP38411
HEALTHPARTNERS
SD
Enumeration date
02/23/2006
Last updated
07/22/2015
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