Individual
SUSAN J MELAND II
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
712 SOUTH CASCADE STREET, FERGUS FALLS, MN 56537-2813
(218) 739-2221
(218) 739-6742
Mailing address
712 SOUTH CASCADE STREET, FERGUS FALLS, MN 56537-2813
(218) 736-8000
(218) 739-6742
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
41395
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01019156
PREFERREDONE
MN
01
—
1520407
UBH
MN
01
—
38B84ME
BLUECROSS/BLUESHIELD
MN
05
—
940814200
—
MN
Enumeration date
04/10/2006
Last updated
02/16/2017
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