Individual
ANNA WEISENBURGER MELLEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2004 RANDOLPH AVE, SAINT PAUL, MN 55105-1750
(507) 363-0291
Mailing address
2004 RANDOLPH AVE, SAINT PAUL, MN 55105-1750
(507) 363-0291
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/22/2026
Last updated
01/22/2026
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