Individual
PETER MELLEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6533 DREW AVE S, EDINA, MN 55435-2103
(952) 927-7138
Mailing address
6533 DREW AVE S, EDINA, MN 55435-2103
(952) 927-7138
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
48177
MN
Other
Enumeration date
08/10/2007
Last updated
04/26/2021
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