Individual
CARLA MARIE MEHELICH-UBBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
404 W FOUNTAIN ST, ALBERT LEA, MN 56007-2437
(507) 373-2384
Mailing address
12664 100TH ST, SHEFFIELD, IA 50475-9003
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9317
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153450500
—
MN
Enumeration date
01/16/2006
Last updated
12/13/2011
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