Individual
PETER J MELCHERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-1166
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-1166
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
42003
MN
208000000X
Pediatrics Physician
Primary
42003
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018019000
—
MN
Enumeration date
03/23/2006
Last updated
11/10/2020
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