Individual
MELISSA MARIE HORNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2701 13TH AVE S, FARGO, ND 58103-3602
(701) 234-3620
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
11218
ND
208000000X
Pediatrics Physician
49747
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10769
—
ND
05
—
108452100
—
MN
Enumeration date
03/28/2007
Last updated
10/17/2025
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