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Individual

MELISSA K SEVERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
20 2ND AVE NE, PLAINVIEW, MN 55964-1497
(507) 534-3885
Mailing address
20 2ND AVE NE, PLAINVIEW, MN 55964-1497
(507) 534-3885

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1999
WI
133V00000X
Registered Dietitian
2754
MN
363A00000X
Physician Assistant
109281
IA
363A00000X
Physician Assistant
Primary
14551
MN

Other

Enumeration date
02/22/2007
Last updated
09/05/2023
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