Individual
DR. ADRIANNE ROSE MALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6500 EXCELSIOR BLVD, SAINT LOUIS PARK, MN 55426-4702
(952) 993-3282
Mailing address
6500 EXCELSIOR BLVD, SAINT LOUIS PARK, MN 55426-4702
(952) 993-3282
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
67172
MN
Other
Enumeration date
05/21/2013
Last updated
07/16/2020
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