Individual
DR. NICHOLAS ANTHONY MELLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
6640 LYNDALE AVE S, SUITE 120, RICHFIELD, MN 55423-2323
(612) 866-1859
(612) 866-2404
Mailing address
6640 LYNDALE AVE S, SUITE 120, RICHFIELD, MN 55423-2323
(612) 866-1859
(612) 866-2404
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4364
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
088L3AS
BCBS
MN
Enumeration date
08/14/2006
Last updated
07/08/2007
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