Individual
MELISSA J MOHRENWEISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
205 WABASHA ST S, SAINT PAUL, MN 55107-1805
(952) 853-8800
Mailing address
280 RIDGEVIEW DR, WAYZATA, MN 55391-1018
(612) 801-8520
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
44770
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790784718
—
MN
01
—
44770
MEDICAL LICENSE
MN
Enumeration date
07/20/2005
Last updated
12/21/2023
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