Individual
MELISSA C. MARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3033 EXCELSIOR BLVD, #275, MINNEAPOLIS, MN 55416-4688
(612) 827-4751
Mailing address
3033 EXCELSIOR BLVD STE 275, MINNEAPOLIS, MN 55416-5149
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40755
MN
Other
Enumeration date
02/17/2006
Last updated
05/15/2008
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