Individual
JAMES MELLIN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3300 EDINBOROUGH WAY, SUITE 108, EDINA, MN 55435-5923
(952) 921-0333
(952) 832-0766
Mailing address
3300 EDINBOROUGH WAY, SUITE 108, EDINA, MN 55435-5923
(952) 921-0333
(952) 832-0766
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
2794
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4C879ME
BCBS OF MN
MN
Enumeration date
11/01/2006
Last updated
07/08/2007
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