Individual
ALAN JASON MELNYCHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 SMITH AVE N, STE 4314A, SAINT PAUL, MN 55102-2344
(651) 241-8436
(651) 241-2793
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-4813
(612) 262-4194
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39153
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
848215200
—
MN
Enumeration date
05/17/2006
Last updated
03/26/2015
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